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Individual

MARK E HAFFENREFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-5710
(781) 453-3740
Mailing address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-5710
(781) 453-3740

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
50143
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0181358
MA
01
050143
TUFTS
MA
01
17317
HARVARD PILGRIM
MA
01
E05921
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/09/2006
Last updated
08/26/2014
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