Individual
DR. MARK PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF NEUROSURGERY, BADER 3, BOSTON, MA 02115-5724
(617) 355-2403
(617) 730-0906
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF NEUROSURGERY, BADER 3, BOSTON, MA 02115-5724
(617) 355-2403
(617) 730-0906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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