Mycyk, Mark B.

Mycyk, Mark B. is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl Dowling 1 South, Boston MA 02118-2908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mycyk, Mark B. can be contacted via phone (617) 638-8000.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Dowling 1 South Boston MA 02118-2908
Phone: (617) 638-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036102179 Illinois
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 036-102179 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 157362 Massachusetts

Profile Details

NPI number 1891729232
LBN Legal business name Mycyk, Mark B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 27th, 2021 - 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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