Search › Massachusetts › 363L00000X
Eddie Mark, APRN
NPI 1922417807 · on the registry since 2014
Practice
- Address
- 55 Lake Ave N
Worcester, MA 01655 - Phone
- (774) 442-2853
- Fax
- (774) 443-7042
- Organisation at this address
- Ummhc
Umass Memorial
Umass Memorial
Tele-Physicians Pc
Umass Memorial GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3,027
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LP0200X
363LP0200X - Licence states on file
- CT, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts