NPI
Mark Douglas Stracks
NPI 1437215456
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD, MS, MPH
- Type
- Individual
- Enumeration date
- 2006-12-28
- Last updated
- 2015-09-16
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Specialties
Licenses
- License GA
- 060311
- License NY
- 277716
- License CT
- 54602
Location
- Practice location
- 45 Gold Mine Rd
- City
- Roxbury CT
- Postal code
- 06783-1214
- Phone
- (706) 718-8056
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Roxbury, CT. 11 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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