Tidswell, Mark A

Tidswell, Mark A is an individual health care provider with primary practice located at 759 Chestnut Street S2668, Springfield MA 01199. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Tidswell, Mark A can be contacted via phone (413) 794-5439.

Contact Information

Primary practice address
759 Chestnut Street S2668 Springfield MA 01199
Phone: (413) 794-5439
Fax: (413) 794-5389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 161219 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 161219 Massachusetts

Profile Details

NPI number 1699722066
LBN Legal business name Tidswell, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 1st, 2011 - about 14 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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