Individual
DR. MARK ABBOTT KENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9137
(413) 452-6049
Mailing address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 748-9137
(413) 452-6049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
215759
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004241
—
MA
01
—
33154
HEALTHCARE NEW ENGLAND
MA
01
—
J26389
BLUE SHIELD
MA
01
—
P00233895
RAILROAD MEDICARE
MA
Enumeration date
06/13/2006
Last updated
06/17/2010
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