Itzkowitz, Mark S
Itzkowitz, Mark S is an individual health care provider with primary practice located at 41 Mall Road Lahey Hospital And Medical Center, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Itzkowitz, Mark S can be contacted via phone (781) 744-7012.Contact Information
Primary practice address
41 Mall Road Lahey Hospital And Medical Center
Burlington MA 01805-0001
Phone: (781) 744-7012
Fax: (781) 744-5246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 160775 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 160775 | Massachusetts |
Profile Details
| NPI number | 1184663270 |
|---|---|
| LBN Legal business name | Itzkowitz, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Nov 14th, 2017 - about 7 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 | 1184663270 | NPPES |
| Massachusetts | Other | 160775 | MA LICENSE NUMBER |
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