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Contact Information

MARK NOVOTNY, MD
30 LOCUST STREET
NORTHAMPTON, MA01061
 Phone: 413-582-2792
 Fax: 413-582-4675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK NOVOTNY · (Male)

NPI Number 1427072479
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 12/30/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 46176
  • VT License # 042-0006447
  • MA Medicaid 110087091A
  • VT Medicaid 0005274
  • MA Other 4540683 AETNA
  • MA Other 1427072479 BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS
  • MA Other 110738 BMC HEALTH NET
  • MA Other 6004659 CIGNA
  • MA Other 046176 CONNECTICARE
  • MA Other 1427072479 FALLON COMMUNITY HEALTH PLAN
  • MA Other AA191022 HARVARD PILGRIM HEALTH PLAN
  • MA Other 44189 HEALTH NEW ENGLAND
  • MA Other 754694 TUFTS
Hospital affiliation(s)
  • COOLEY DICKINSON HOSPITAL INCTHE - (Acute Care)
    30 LOCUST STREET
    NORTHAMPTON, MA 01060
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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