Provider Demographics
NPI:1275971038
Name:OIEN, MARK BRADY (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:BRADY
Last Name:OIEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:233 EAST STEVENS ST.
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-771-3190
Mailing Address - Fax:508-771-0940
Practice Address - Street 1:233 STEVENS ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3766
Practice Address - Country:US
Practice Address - Phone:508-771-3190
Practice Address - Fax:508-771-0940
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1275971038208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice