Mark Vonnegut
MD | Pediatric Adolescent Medicine | Male
Mark Vonnegut, MD is a Quincy, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mark Vonnegut is
21 Totman Street #2, Quincy, Massachusetts - 02169. He can be contacted on phone at
617-745-0050 and fax number 617-745-0052.
Mark Vonnegut is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Vonnegut is
1295757268 which was assigned by NPPES on 25 Jul, 2006 and it was last updated on 08 Jul, 2007.
Mark Vonnegut license number is
49135 for Pediatrics Adolescent Medicine (2080A0000X) in Massachusetts.
Mark Vonnegut specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mark Vonnegut basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mark Vonnegut |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Mark Vonnegut address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 21 Totman Street #2
Quincy, MA, 02169
United States |
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| Phone Number : | 617-745-0050 |
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| Fax Number : | 617-745-0052 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295757268 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Vonnegut are as mentioned. Primary taxonomy code for Mark Vonnegut, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 49135 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Mark Vonnegut such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 170259 | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 21 Totman Street #2
Quincy, MA, 02169
United States |
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| Phone Number : | 617-745-0050 |
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| Fax Number : | 617-745-0052 |
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Business Location:
Patients can refer following map for directions to
Mark Vonnegut practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.