Quitadamo, Mark Jon
Quitadamo, Mark Jon is an individual health care provider with primary practice located at 18 Old Etna Rd , Lebanon NH 03766-1937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Quitadamo, Mark Jon can be contacted via phone (603) 308-1472.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 8595 | New Hampshire |
Profile Details
| NPI number | 1891731022 |
|---|---|
| LBN Legal business name | Quitadamo, Mark Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 11th, 2023 - about 2 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 | 1891731022 | NPPES |
| New Hampshire | MEDICAID | 30004810 |
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