Organization
DR. MARK E. SCHIFFMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E SCHIFFMAN OD (OWNER)
(508) 487-2227
Entity
Organization
Contact information
Practice address
120 BRADFORD ST, POB 212, PROVINCETOWN, MA 02657-1427
(508) 487-2227
Mailing address
120 BRADFORD ST, POB 212, PROVINCETOWN, MA 02657-1427
(508) 487-2227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3180
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9770852
—
MA
01
—
W20203
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
03/29/2007
Last updated
08/22/2020
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