Individual
DR. MARK I NEUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6624
(617) 730-0335
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
159496
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
159496
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117340
—
MA
Enumeration date
06/05/2006
Last updated
08/20/2007
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