Individual
DR. MARK KRIVOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HUNNEWELL ST STE 5, BID HEALTHCARE HOSPITALIST SERVICES, NEEDHAM, MA 02494-1300
(617) 754-0744
(617) 754-0739
Mailing address
400 HUNNEWELL ST STE 5, BID HEALTHCARE HOSPITALIST SERVICES, NEEDHAM, MA 02494-1300
(617) 754-0744
(617) 754-0739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
204774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117650
MASSHEALTH
MA
Enumeration date
11/14/2005
Last updated
10/03/2008
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