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Contact Information

MARK VONNEGUT, MD
21 TOTMAN STREET #2
QUINCY, MA02169
 Phone: 617-745-0050
 Fax: 617-745-0052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARK VONNEGUT · (Male)

NPI # 1295757268
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 49135
  • MA Medicaid 170259
Hospital affiliation(s) Not Available
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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