Gendreau, Mark Anthony

Gendreau, Mark Anthony is an individual health care provider with primary practice located at Lahey Hospital & Medical Ctr 41 Mall Rd, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gendreau, Mark Anthony can be contacted via phone (978) 538-4600.

Contact Information

Primary practice address
Lahey Hospital & Medical Ctr 41 Mall Rd Burlington MA 01805-0001
Phone: (978) 538-4600
Fax: (978) 538-4707
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 153777 Massachusetts

Profile Details

NPI number 1184666315
LBN Legal business name Gendreau, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Oct 23rd, 2014 - about 11 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 1184666315 NPPES
Massachusetts MEDICAID 110003958A

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