Individual
DR. MARK A LISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 EDGERTON DRIVE, STE 1, NORTH FALMOUTH, MA 02556
(508) 563-2550
(508) 563-2570
Mailing address
37 EDGERTON DRIVE, STE 1, NORTH FALMOUTH, MA 02556
(508) 563-2550
(508) 563-2570
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
75627
MA
207ND0101X
MOHS-Micrographic Surgery Physician
75627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095479
—
MA
01
—
4190
HARVARD PILGRIM
MA
01
—
725035
TUFTS
MA
Enumeration date
07/07/2006
Last updated
10/01/2020
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