Individual
DR. MARK B. STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Mailing address
133 BROOKLINE AVE FL 9, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37224
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002999
NEIGHBORHOOD HEALTH PLAN
MA
05
—
2097109
—
MA
01
—
729746
TUFTS HEALTH PLAN
MA
01
—
9434856-002
CIGNA
MA
01
—
B11518
BLUE CROSS
MA
01
—
P00019115
MEDICARE RAILROAD
MA
01
—
PM261
HARVARD PILGRIM
MA
Enumeration date
08/04/2006
Last updated
01/07/2021
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