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Individual

MARK C ACKER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2007 BAY ST., SUITE 103, TAUNTON, MA 02780-1086
(508) 880-7858
(508) 822-5972
Mailing address
2007 BAY ST., SUITE 103, TAUNTON, MA 02780-1086
(508) 880-7858
(508) 822-5972

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
153581
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3168719
MA
Enumeration date
06/13/2006
Last updated
07/08/2007
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