Provider Demographics
NPI:1932411980
Name:PALMARIN, MARK
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:PALMARIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 MASSACHUSETTS AVE
Mailing Address - Street 2:3RD FLR.
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1817
Mailing Address - Country:US
Mailing Address - Phone:617-266-3349
Mailing Address - Fax:
Practice Address - Street 1:93 MASSACHUSETTS AVE
Practice Address - Street 2:3RD. FLR.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-1817
Practice Address - Country:US
Practice Address - Phone:617-266-3349
Practice Address - Fax:617-247-9860
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator