Liska, Mark A
Liska, Mark A is an individual health care provider with primary practice located at 37 Edgerton Drive Ste 1, North Falmouth MA 02556. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Liska, Mark A can be contacted via phone (508) 563-2550.Contact Information
Primary practice address
37 Edgerton Drive Ste 1
North Falmouth MA 02556
Phone: (508) 563-2550
Fax: (508) 563-2570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 75627 | Massachusetts |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 75627 | Massachusetts |
Profile Details
| NPI number | 1538191846 |
|---|---|
| LBN Legal business name | Liska, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Oct 1st, 2020 - about 4 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 | 1538191846 | NPPES |
| Massachusetts | Other | 725035 | TUFTS |
| Massachusetts | Other | 4190 | TUFTS |
| Massachusetts | MEDICAID | 3095479 | TUFTS |
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