Individual
MARK A MACKLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 SALEM ST, WILMINGTON, MA 01887-1200
(978) 988-6240
Mailing address
500 SALEM ST, WILMINGTON, MA 01887-1200
(978) 988-6240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56887
MA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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