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Contact Information

MARK D CANNING, MD
55 FOGG RD
SOUTH WEYMOUTH, MA02190-2432
 Phone: 781-340-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MARK D CANNING · (Male)

NPI # 1932162104
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 05/02/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 15177
  • MA Medicaid 3168123
  • MA Other J17824 BLUE SHIELD
  • MA Other 37767 FALLON
  • MA Other 273479 HARVARD PILGRIM
  • MA Other 3168123 HEALTHY START
  • MA Other 767488 TUFTS
Hospital affiliation(s)
  • SOUTH SHORE HOSPITAL - (Acute Care)
    55 FOGG ROAD
    SOUTH WEYMOUTH, MA 02190
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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