Individual
MARK SNOWISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 STOCKBRIDGE RD, LEE, MA 01238-9316
(413) 243-0122
(413) 243-2251
Mailing address
710 STOCKBRIDGE RD, LEE, MA 01238-9316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205153
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103422
—
MA
Enumeration date
05/03/2006
Last updated
09/10/2019
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