NPI 1912161969

Mark S Jadofsky, PO

Practitioner Other Technician New London, CT

Practice location

Address: 15 Mohegan Ave U.S. Caost Guard Academy, New London, CT 06320-0052
Phone: (860) 444-8402
Mailing address: 15 Mohegan Ave Uscg Academy, New London, CT 06320

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Connecticut →

Registry record

NPI: 1912161969
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2008
Record last updated: 17 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.