Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 042.0012771 | VT |
Y | 208200000X | Surgeon | 230944 | MA |
Y | 208600000X | Surgeon | 230944 | MA |
NPI | 1861422974 |
---|---|
Provider Name | James F Markmann |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 24/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000107701 | MEDICARE PTAN (01) | MA |
110075811/A | (05) | MA |
G34569 | (02) |