Individual
MARK R. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 MESSENGER ST, PLAINVILLE, MA 02762
(508) 316-7438
(508) 316-7117
Mailing address
60 MESSENGER ST, PLAINVILLE, MA 02762-2258
(508) 316-7438
(508) 316-7117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002748
RI BLUE CHIP
—
01
—
0101050
UHC
—
01
—
077096
TUFTS
MA
05
—
3114627
—
MA
01
—
361
FALLON
MA
01
—
70240
HPHC
MA
01
—
B10096301
CIGNA
MA
01
—
J30085
MABC
MA
Enumeration date
08/05/2006
Last updated
11/07/2019
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