Individual
DR. MARK B. STOCKMAN
Active
Individual
DR. MARK B. STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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