Individual
DR. MARK DAVID CANNING
Active
Individual
DR. MARK DAVID CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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