Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 214062 | MA |
NPI | 1033198098 |
---|---|
Provider Name | Mark P Hatton |
First Address | Boston, MA 02114-2517 |
Second Address | Boston, MA 02114-2517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0196916 | (05) | MA |
110007916A | (05) | MA |
214062 | TUFTS HEALTH PLAN (01) | MA |
H63150 | (02) | |
J25134 | BCBS MA (01) | MA |