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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538191846 NPPES
Massachusetts Other 725035 TUFTS
Massachusetts Other 4190 TUFTS
Massachusetts MEDICAID 3095479 TUFTS

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