Dr. Mark Thomas Watkins
Family Doctor - Adult Medicine
253 So 10th Street Suite 201
Philadelphia
, Pennsylvania 19107-5605
Dr. Mark Thomas Watkins
Family Doctor - Adult Medicine
253 So 10th Street Suite 201
Philadelphia
, Pennsylvania 19107-5605
(215) 829-0173
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Mark Thomas Watkins
- 253 S 10th St Suite 201
- Philadelphia, PA
- Zip : 19107-5751
- Fax : (215) 829-0173
- Phone : (215) 829-0170
Second Address
- Dr. Mark Thomas Watkins
- 253 So 10th Street Suite 201
- Philadelphia, PA
- Zip : 19107-5605
- Fax : (215) 829-0173
- Phone : (215) 829-0170
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | OS006195L | PA |
National Provider Identifier
| NPI | 1336226166 |
|---|---|
| Provider Name | Dr. Mark Thomas Watkins |
| First Address | Philadelphia, PA 19107-5751 |
| Second Address | Philadelphia, PA 19107-5605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2006 |
| Last Update Date | 26/05/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F10473 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.