Provider Demographics
NPI:1134148604
Name:GEPPERT, MARK J (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:GEPPERT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7 MARSH BROOK DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878-6523
Mailing Address - Country:US
Mailing Address - Phone:603-742-2007
Mailing Address - Fax:603-749-4605
Practice Address - Street 1:7 MARSH BROOK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-6523
Practice Address - Country:US
Practice Address - Phone:603-742-2007
Practice Address - Fax:603-749-4605
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2018-09-17
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Provider Licenses
StateLicense IDTaxonomies
NH8613207XX0004X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3079299Medicaid
RE1779Medicare PIN