Individual
MARK COMSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
74 UNION PARK ST, BOSTON, MA 02118-2142
(617) 542-2325
Mailing address
146 W CONCORD ST APT 2, BOSTON, MA 02118-1577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2710
MA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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