Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 74200 | MA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 74200 | MA |
NPI | 1205853272 |
---|---|
Provider Name | Mark A Varvares |
First Address | Boston, MA 02114-3002 |
Second Address | Boston, MA 02114-3002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 02/03/2015 |