Mark Vonnegut
Adolescent Medicine
21 Totman Street #2
Quincy
, Massachusetts 02169
Mark Vonnegut
Adolescent Medicine
21 Totman Street #2
Quincy
, Massachusetts 02169
(617) 745-0052
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mark Vonnegut
- 21 Totman Street #2
- Quincy, MA
- Zip : 02169
- Fax : (617) 745-0052
- Phone : (617) 745-0050
Second Address
- Mark Vonnegut
- 21 Totman Street #2
- Quincy, MA
- Zip : 02169
- Fax : (617) 745-0052
- Phone : (617) 745-0050
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 49135 | MA |
National Provider Identifier
| NPI | 1295757268 |
|---|---|
| Provider Name | Mark Vonnegut |
| First Address | Quincy, MA 02169 |
| Second Address | Quincy, MA 02169 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 170259 | (05) | MA |
| D88160 | (02) |
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.