Individual
MARK A CONNAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 OLD ROAD TO NINE ACRE CORNER, RADIOLOGY DEPARTMENT, CONCORD, MA 01742-4159
(978) 287-3700
(978) 287-3729
Mailing address
118 OXBOW RD, WAYLAND, MA 01778-1026
(978) 287-3700
(978) 287-3729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
54101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003256
—
MA
Enumeration date
10/13/2006
Last updated
10/23/2012
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