Provider Demographics
NPI:1982680740
Name:MARKS, DONALD SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:SCOTT
Last Name:MARKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:45 RESNIK RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4844
Mailing Address - Country:US
Mailing Address - Phone:508-746-5060
Mailing Address - Fax:508-746-8060
Practice Address - Street 1:45 RESNIK RD
Practice Address - Street 2:SUITE 205
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4844
Practice Address - Country:US
Practice Address - Phone:508-746-5060
Practice Address - Fax:508-746-8060
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA512912084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3015068Medicaid
MAB97908Medicare UPIN
MA3015068Medicaid