Individual
MARK S ITZKOWITZ
Active
Individual
MARK S ITZKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160775
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
160775
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160775
MA LICENSE NUMBER
MA
Enumeration date
06/05/2006
Last updated
11/14/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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