Individual
DR. MARK S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, #298, BOSTON, MA 02111
(617) 636-5000
(617) 636-1465
Mailing address
800 WASHINGTON STREET, #298, BOSTON, MA 02111
(617) 636-5000
(617) 636-1465
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
55261
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055261
TUFTS HEALTHPLAN
MA
01
—
2000005
UNITED HEALTHCARE
MA
05
—
3050297
—
MA
01
—
5586023
AETNA
MA
01
—
613824
HARVARD PILGRIM HEALTHCAR
MA
01
—
82971
AETNA US HEALTHCARE
MA
01
—
J05103LE
BLUE CROSS/SHIELD MA
MA
Enumeration date
11/14/2005
Last updated
04/27/2017
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