Individual
DR. KONRAD ALAN MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 MILL ST, ARLINGTON, MA 02476-4719
(781) 646-1717
Mailing address
6 MILL ST, ARLINGTON, MA 02476-4719
(781) 646-1717
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
46998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616789
—
MA
Enumeration date
09/02/2006
Last updated
07/08/2007
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