Provider Demographics
NPI:1831357912
Name:UNGER, MARK W (CS)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:W
Last Name:UNGER
Suffix:
Gender:M
Credentials:CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 ALGONQUIN TRL
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1995
Mailing Address - Country:US
Mailing Address - Phone:508-881-3000
Mailing Address - Fax:610-980-3000
Practice Address - Street 1:117 ALGONQUIN TRL
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MA
Practice Address - Zip Code:01721-1995
Practice Address - Country:US
Practice Address - Phone:508-881-3000
Practice Address - Fax:610-980-3000
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist