National Provider Identifier Database

MARK VONNEGUT, MD – NPI #1295757268
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

MARK VONNEGUT, MD
21 TOTMAN STREET #2
QUINCY, MA02169
Phone: 617-745-0050
Fax: 617-745-0052
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for MARK VONNEGUT

NPI Number 1295757268
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 49135
  • MA Medicaid: 170259
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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