Individual
DR. MARK STASAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02119, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
268519
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110116246A
—
MA
05
—
3119170
—
NH
Enumeration date
04/15/2015
Last updated
06/07/2023
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