Individual
MARK PORWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 ATWOOD DR, SUITE 301, NORTHAMPTON, MA 01060-4272
(413) 570-4900
(413) 570-4196
Mailing address
22 ATWOOD DR, SUITE 301, NORTHAMPTON, MA 01060-4272
(413) 570-4900
(413) 570-4196
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
58063
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3476949
UNICARE/GIC
MA
01
—
058063
TUFTS
MA
05
—
110044797A
—
MA
01
—
15514
HEALTH NEW ENGLAND
MA
05
—
3025365
—
MA
01
—
J06661
BCBSMA
MA
Enumeration date
03/24/2006
Last updated
04/15/2015
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