Provider Demographics
NPI:1881652758
Name:NITZBERG, MARK C (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:C
Last Name:NITZBERG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:380R MERRIMACK ST.
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844
Mailing Address - Country:US
Mailing Address - Phone:978-681-1977
Mailing Address - Fax:978-686-8918
Practice Address - Street 1:38R MERRIMACK ST.
Practice Address - Street 2:SUITE 2C
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844
Practice Address - Country:US
Practice Address - Phone:978-681-1977
Practice Address - Fax:978-686-8918
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2017-11-16
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Provider Licenses
StateLicense IDTaxonomies
MA74584207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology