Individual
DR. MARK C POZNANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
INFECTIOUS DISEASE ASSOCIATES, 55 FRUIT STREET COX 5, BOSTON, MA 02114-2696
(617) 726-3906
Mailing address
MASS GENERAL PHYSICIAN ORGANIZATION, PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157686
MA
207RI0200X
Infectious Disease Physician
157686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157686
TUFTS HEALTH PLAN
MA
05
—
3190765
—
MA
01
—
J19630
BCBS MA
MA
Enumeration date
11/29/2006
Last updated
10/29/2007
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