Haffenreffer, Mark E

Haffenreffer, Mark E is an individual health care provider with primary practice located at 148 Chestnut St , Needham MA 02492-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Haffenreffer, Mark E can be contacted via phone (781) 453-5710.

Contact Information

Primary practice address
148 Chestnut St Needham MA 02492-2505
Phone: (781) 453-5710
Fax: (781) 453-3740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 50143 Massachusetts

Profile Details

NPI number 1053321992
LBN Legal business name Haffenreffer, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 26th, 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 1053321992 NPPES
Massachusetts Other 050143 TUFTS
Massachusetts MEDICAID 0181358 TUFTS
Massachusetts Other 17317 TUFTS
Massachusetts Other E05921 TUFTS

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