Individual
MARK SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 NEW DRIFTWAY, SUITE 301, SCITUATE, MA 02066
(781) 544-1388
(781) 544-3396
Mailing address
56 NEW DRIFTWAY STE 301, SCITUATE, MA 02066-4533
(781) 544-1388
(781) 544-3396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160446
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04099589
EVERCARE
—
01
—
1679502405
BCBS
—
01
—
710838
HARVARD PILGRAM
MA
01
—
J22693
BCBS
MA
Enumeration date
07/02/2006
Last updated
02/26/2026
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