Hauser, Mark Jeffrey
Hauser, Mark Jeffrey is an individual health care provider with primary practice located at 16 Converse Ave , Newton MA 02458-2504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Hauser, Mark Jeffrey can be contacted via phone (617) 969-6331.Contact Information
Primary practice address
16 Converse Ave
Newton MA 02458-2504
Phone: (617) 969-6331
Fax: (617) 969-6350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 49874 | Massachusetts |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 028531 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 49874 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 028531 | Connecticut |
Profile Details
| NPI number | 1649231879 |
|---|---|
| LBN Legal business name | Hauser, Mark Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1649231879 | NPPES |
| Massachusetts | MEDICAID | 3023656 |
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