Organization
MARK A LEWIS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A LEWIS M.D. (PHYSICIAN/OWNER)
(781) 639-0516
Entity
Organization
Contact information
Practice address
1 WIDGER RD, 308, MARBLEHEAD, MA 01945-2146
(781) 639-0516
(781) 639-4191
Mailing address
1 WIDGER RD, 308, MARBLEHEAD, MA 01945-2146
(781) 639-0516
(781) 639-4191
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44331
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070561
—
MA
Enumeration date
02/24/2015
Last updated
02/24/2015
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