Mark E Haffenreffer
Sports Medicine Orthopaedic Surgeon
148 Chestnut St
Needham
, Massachusetts 02492-2505
Mark E Haffenreffer
Sports Medicine Orthopaedic Surgeon
148 Chestnut St
Needham
, Massachusetts 02492-2505
(781) 453-3740
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Mark E Haffenreffer
- 148 Chestnut St
- Needham, MA
- Zip : 02492-2505
- Fax : (781) 453-3740
- Phone : (781) 453-5710
Second Address
- Mark E Haffenreffer
- 148 Chestnut St
- Needham, MA
- Zip : 02492-2505
- Fax : (781) 453-3740
- Phone : (781) 453-5710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 50143 | MA |
National Provider Identifier
| NPI | 1053321992 |
|---|---|
| Provider Name | Mark E Haffenreffer |
| First Address | Needham, MA 02492-2505 |
| Second Address | Needham, MA 02492-2505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2006 |
| Last Update Date | 26/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0181358 | (05) | MA |
| 050143 | TUFTS (01) | MA |
| 17317 | HARVARD PILGRIM (01) | MA |
| A54977 | (02) | MA |
| E05921 | BLUE CROSS BLUE SHIELD (01) | MA |
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.