Israel, Mark Alan

Israel, Mark Alan is an individual health care provider with primary practice located at 1 Medical Center Dr Norris Cotton Cancer Center, Lebanon NH 03756-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Israel, Mark Alan can be contacted via phone (603) 653-3611.

Contact Information

Primary practice address
1 Medical Center Dr Norris Cotton Cancer Center Lebanon NH 03756-1000
Phone: (603) 653-3611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11661 New Hampshire

Profile Details

NPI number 1194755215
LBN Legal business name Israel, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 20th, 2007 - about 19 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 1194755215 NPPES
Vermont MEDICAID 1009461
Vermont Other 11661
Vermont MEDICAID 30203422

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