Doyle, Mark Matthew

Doyle, Mark Matthew is an individual health care provider with primary practice located at 1 Tallow Wood Dr , Clifton Park NY 12065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Doyle, Mark Matthew can be contacted via phone (518) 737-4500.

Contact Information

Primary practice address
1 Tallow Wood Dr Clifton Park NY 12065
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 272706 New York

Profile Details

NPI number 1336460823
LBN Legal business name Doyle, Mark Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated May 12th, 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 1336460823 NPPES
New York MEDICAID 03765271

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