Individual
MARK JOSEPH MESSINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 WASHINGTON STREET, SUITE 240, NORWOOD, MA 02062-3441
(781) 769-4660
(781) 769-0371
Mailing address
825 WASHINGTON STREET, SUITE 240, NORWOOD, MA 02062-3441
(781) 769-4660
(781) 769-0371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
150845
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150845
TUFTS
MA
01
—
171211
HARVARD PILGRIM
MA
01
—
200029847
RR MEDICARE
MA
05
—
3189503
—
MA
01
—
J16597
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
08/23/2005
Last updated
10/23/2012
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