Individual
MARK D RAIZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 ESSEX CENTER DR, INTERNAL MEDICINE, PEABODY, MA 01960-2902
(978) 977-4210
(978) 977-4226
Mailing address
2 ESSEX CENTER DR, PEABODY, MA 01960-2926
(978) 977-4210
(978) 977-4226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222864
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033863
NEIGHBORHOOD HEALTH
MA
05
—
2086701
—
MA
01
—
413329
TUFTS
MA
01
—
AA19094
HARVARD PILGRIM
MA
01
—
J28142
BLUE CROSS
MA
Enumeration date
06/27/2006
Last updated
03/07/2021
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