Dacey, Mark P

Dacey, Mark P is an individual health care provider with primary practice located at 97 Libbey Industrial Pkwy Ste 100 , East Weymouth MA 02189-3110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dacey, Mark P can be contacted via phone (781) 331-3300.

Contact Information

Primary practice address
97 Libbey Industrial Pkwy Ste 100 East Weymouth MA 02189-3110
Phone: (781) 331-3300
Fax: (781) 337-8356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 79168 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 79168 Massachusetts

Profile Details

NPI number 1184613192
LBN Legal business name Dacey, Mark P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Dec 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184613192 NPPES
Massachusetts MEDICAID 110054268A

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