Provider Demographics
NPI:1689773236
Name:MARKS, ALAN B (MD)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:B
Last Name:MARKS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:290 BAKER AVE SUITE 102N
Mailing Address - Street 2:ALAN B MARKS MD
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-369-0502
Mailing Address - Fax:978-369-5943
Practice Address - Street 1:290 BAKER AVE SUITE 102N
Practice Address - Street 2:ALAN B MARKS MD
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-369-0502
Practice Address - Fax:978-369-5943
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-09-10
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Provider Licenses
StateLicense IDTaxonomies
MA42968207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042968OtherTUFTS
25057OtherHARVARD PILGRIM
E02065Medicare UPIN
25057OtherHARVARD PILGRIM