Individual
DR. MARK J SAXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
480 PIERCE STREET, SUITE 212, KINGSTON, PA 18704
(570) 718-1996
(570) 718-1997
Mailing address
480 PIERCE STREET, SUITE 212, KINGSTON, PA 18704
(570) 718-1996
(570) 718-1997
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0S-008157L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000266238
UNISON
—
05
—
0015924070002
—
PA
Enumeration date
05/04/2006
Last updated
03/28/2012
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