Individual
MARK NOVOTNY
Active
Individual
MARK NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
042-0006447
VT
207R00000X
Internal Medicine Physician
Primary
46176
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005274
—
VT
01
—
046176
CONNECTICARE
MA
05
—
110087091A
—
MA
01
—
110738
BMC HEALTH NET
MA
01
—
1427072479
FALLON COMMUNITY HEALTH PLAN
MA
01
—
44189
HEALTH NEW ENGLAND
MA
01
—
4540683
AETNA
MA
01
—
6004659
CIGNA
MA
01
—
754694
TUFTS
MA
01
—
AA191022
HARVARD PILGRIM HEALTH PLAN
MA
Enumeration date
07/26/2006
Last updated
12/30/2010
Update your record
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