Provider Demographics
NPI:1588665475
Name:SZAL, MARK A (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:A
Last Name:SZAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:248 PLEASANT ST
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-224-2020
Mailing Address - Fax:603-228-0248
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:SUITE 1600
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-2020
Practice Address - Fax:603-228-0248
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2020-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH10668207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0103301Y0NH01OtherANTHEM
180036065OtherMEDICARE RR
5143609OtherAETNA
NH350261OtherCIGNA
NH30200191Medicaid
NH30200191Medicaid
G58542Medicare UPIN