Dr. William Mark Nannery
Surgeon Vascular Surgeon
490 Chapman St
Canton
, Massachusetts 02021-2039
Dr. William Mark Nannery
Surgeon Vascular Surgeon
490 Chapman St
Canton
, Massachusetts 02021-2039
(781) 828-7730
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. William Mark Nannery
- 490 Chapman St
- Canton, MA
- Zip : 02021-2039
- Fax : (781) 828-7730
- Phone : (781) 828-4030
Second Address
- Dr. William Mark Nannery
- 490 Chapman St
- Canton, MA
- Zip : 02021-2039
- Fax : (781) 828-7730
- Phone : (781) 828-4030
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 76851 | MA |
| Y | 208600000X | Surgeon | 76851 | MA |
| N | 2086S0129X | Vascular Surgeon | 76851 | MA |
National Provider Identifier
| NPI | 1174558209 |
|---|---|
| Provider Name | Dr. William Mark Nannery |
| First Address | Canton, MA 02021-2039 |
| Second Address | Canton, MA 02021-2039 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 07/07/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 076851 | TUFTS (01) | |
| 3136167 | (05) | MA |
| 697329 | TUFTS (01) | |
| 8568 | HARVARD PILGRIM (01) | |
| 9717561 | (05) | MA |
| F56977 | (02) | |
| J14582 | BCBS (01) | MA |
| M18288 | BCBS (01) |
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.