Individual
DR. JANE S MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1121 WASHINGTON ST, SUITE #4, WEST NEWTON, MA 02465-2149
(617) 332-6470
Mailing address
51 HATFIELD RD, WEST NEWTON, MA 02465-1228
(617) 332-6470
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45697
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E05660
BCBS
MA
Enumeration date
11/03/2006
Last updated
07/08/2007
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