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Individual

MARK J. NEAVYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2381
Mailing address
6 FLINTLOCK LN, FALMOUTH, ME 04105-2536

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
052572
CT
207P00000X
Emergency Medicine Physician
250461
MA
207P00000X
Emergency Medicine Physician
Primary
MD23807
ME
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
250461
MA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MD23807
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110092404A
MA
Enumeration date
08/07/2008
Last updated
10/29/2021
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