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Contact Information

GLENN R MARKENSON, MD
850 HARRISON AVE
YACC 4
BOSTON, MA02118-4001
 Phone: 617-414-2000
 Fax: 617-414-5798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GLENN R MARKENSON · (Male)

NPI Number 1710999578
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 11/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 153868
  • MA Medicaid 110058897A
Hospital affiliation(s)
  • BOSTON MEDICAL CENTER CORPORATION - (Acute Care)
    1 BOSTON MEDICAL CENTER PLACE
    BOSTON, MA 02118
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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