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Contact Information

MARK SAMUELSON, MD
56 NEW DRIFTWAY
SUITE 301
SCITUATE, MA02066
 Phone: 781-544-1388
 Fax: 781-544-3396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK SAMUELSON · (Male)

NPI Number 1679502405
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2006
Last updated 02/26/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MA License # 160446
  • Other 1679502405 BCBS
  • Other 04099589 EVERCARE
  • MA Other J22693 BCBS
  • MA Other 710838 HARVARD PILGRAM
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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