Stoker, Mark E

Stoker, Mark E is an individual health care provider with primary practice located at 123 Summer St Suite 210, Worcester MA 01608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stoker, Mark E can be contacted via phone (508) 368-3190.

Contact Information

Primary practice address
123 Summer St Suite 210 Worcester MA 01608
Phone: (508) 368-3190
Fax: (508) 368-3193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 55821 Massachusetts

Profile Details

NPI number 1578531695
LBN Legal business name Stoker, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 14th, 2019 - about 5 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 1578531695 NPPES
Massachusetts MEDICAID 3099946

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