Provider Demographics
NPI:1336120161
Name:HUGHES, MARK STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEPHEN
Last Name:HUGHES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1101 BEACON ST
Mailing Address - Street 2:SUITE 3-E
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-5587
Mailing Address - Country:US
Mailing Address - Phone:617-731-1760
Mailing Address - Fax:617-731-0610
Practice Address - Street 1:1101 BEACON ST
Practice Address - Street 2:SUITE 3-E
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:617-731-1760
Practice Address - Fax:617-731-0610
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2013-05-15
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Provider Licenses
StateLicense IDTaxonomies
MA72171207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3068048Medicaid
MA716325OtherTUFTS HEALTH PLAN
MAJ09797OtherBCBS MA
MANX1742Medicare PIN
E49124Medicare UPIN
MA716325OtherTUFTS HEALTH PLAN