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Individual

MARK JOSEPH ALBANESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 591-6020
(617) 591-6054
Mailing address
26 CENTRAL ST, SOMERVILLE, MA 02143-2827
(617) 591-6020
(617) 591-6054

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
71493
MA
2084P0802X
Addiction Psychiatry Physician
Primary
71493
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3098117
MA
Enumeration date
07/09/2006
Last updated
12/09/2011
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