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Contact Information

MARK A BOISSONNEAULT, DPM
4 GLYNDON DR STE 2A
REISTERSTOWN, MD21136-2002
 Phone: 410-833-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK A BOISSONNEAULT · (Male)

NPI Number 1508493248
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/24/2020
Last updated 08/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # 01789
Hospital affiliation(s) Not Available
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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