Bracken, Mark E

Bracken, Mark E is an individual health care provider with primary practice located at 41 Mall Rd. Lahey Clinic, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bracken, Mark E can be contacted via phone (781) 744-8100.

Contact Information

Primary practice address
41 Mall Rd. Lahey Clinic Burlington MA 01805-0001
Phone: (781) 744-8100
Fax: (781) 744-5213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 160536 Massachusetts

Profile Details

NPI number 1457325532
LBN Legal business name Bracken, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457325532 NPPES
Massachusetts MEDICAID 0130711
Massachusetts MEDICAID 110002578A

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