Individual
DR. MARK DAVID CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3101
(781) 337-4224
(781) 335-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15177
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
15177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273479
HARVARD PILGRIM
MA
01
—
3168123
HEALTHY START
MA
05
—
3168123
—
MA
01
—
37767
FALLON
MA
01
—
767488
TUFTS
MA
01
—
J17824
BLUE SHIELD
MA
Enumeration date
04/10/2006
Last updated
05/02/2008
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