Mark Preston
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
60 Westwood Ave Ste 200
Waterbury
, Connecticut 06708
Mark Preston
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
60 Westwood Ave Ste 200
Waterbury
, Connecticut 06708
(203) 596-0912
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Mark Preston
- 60 Westwood Ave Ste 200
- Waterbury, CT
- Zip : 06708
- Fax : (203) 596-0912
- Phone : (203) 574-5501
Second Address
- Mark Preston
- 60 Westwood Ave Ste 200
- Waterbury, CT
- Zip : 06708
- Fax : (203) 596-0912
- Phone : (203) 574-5501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 040237 | CT |
| N | 207VG0400X | Gynecologist | 040237 | CT |
National Provider Identifier
| NPI | 1902992274 |
|---|---|
| Provider Name | Mark Preston |
| First Address | Waterbury, CT 06708 |
| Second Address | Waterbury, CT 06708 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 26/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001402370 | (05) | CT |
| H19595 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.