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Contact Information

MARK R RAO, PA-C
104 ENDICOTT ST.
LL05
DANVERS, MA01923
 Phone: 978-739-7700
 Fax: 978-739-7736
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK R RAO · (Male)

NPI Number 1265428759
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/21/2005
Last updated 10/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PA-733
  • ME Medicaid 1265428759
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
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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