Gloss, Mark R
Gloss, Mark R is an sole proprietor health care provider with primary practice located at 1180 Beacon St Ste 7B, Brookline MA 02446-3885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gloss, Mark R can be contacted via phone (617) 277-0939.Contact Information
Primary practice address
1180 Beacon St Ste 7B
Brookline MA 02446-3885
Phone: (617) 277-0939
Fax: (617) 277-7138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 150277 | Massachusetts |
Profile Details
| NPI number | 1730188319 |
|---|---|
| LBN Legal business name | Gloss, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 17th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730188319 | NPPES |
| Massachusetts | MEDICAID | 3156281 |
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