Mr. Mark Tabaka, PA-C
Mr. Mark Tabaka, PA-C is a Physician Assistant in Bristol, Connecticut. Qualified in 2005, 21 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 21
- Licensed in
- CT
- In the registry since
- 2005
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
576 Farmington AveBristol, CT 06010-3933
Phone: (860) 585-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 1803 (CT) |
|---|
Record details
| NPI number | 1457353005 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 12, 2005 |
| Last updated in NPPES | November 5, 2018 |
| Mailing address | 11 Arkona Dr, Higganum, CT 06441-4479 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Yale University — 2618 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Bristol
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Kristin Levesque, PA-C
41 Brewster Rd, Bristol, CT 06010-5161 · (860) 584-8291
-
Katelyn Palladino, PA-C
22 Pine St, Bristol, CT 06010-6948 · (860) 229-8346
-
MS. Doreen A. Rackliffe, PA-C
255 N Main St Ste 100, Bristol, CT 06010-4972 · (860) 582-3942
-
Antonio Santoro, PA
Bristol Hospital Brewster Rd, Bristol, CT 06011-0977 · (860) 585-3528