Individual
DR. MARK EDWARD SCHIFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
120 BRADFORD ST., POB 212,, PROVINCETOWN, MA 02657-0212
(508) 487-2227
Mailing address
120 BRADFORD ST., PO BOX 212,, PROVINCETOWN, MA 02657-0212
(508) 487-2227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3180
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353795
—
MA
05
—
9770852
—
MA
Enumeration date
02/08/2006
Last updated
05/13/2008
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