Mark, Eugene Jerome

Mark, Eugene Jerome is an individual health care provider with primary practice located at 55 Fruit Street Wrn 2 Pathology Associates, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Mark, Eugene Jerome can be contacted via phone (617) 726-8891.

Contact Information

Primary practice address
55 Fruit Street Wrn 2 Pathology Associates Boston MA 02114-2696
Phone: (617) 726-8891
Fax: (617) 726-7474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 32178 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 32178 Massachusetts

Profile Details

NPI number 1790776227
LBN Legal business name Mark, Eugene Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1790776227 NPPES
Massachusetts Other M08757 BCBS MA
Massachusetts Other 032178 BCBS MA
Massachusetts MEDICAID 2091984 BCBS MA

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