Porway, Mark

Porway, Mark is an individual health care provider with primary practice located at 22 Atwood Dr Suite 301, Northampton MA 01060-4272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Porway, Mark can be contacted via phone (413) 570-4900.

Contact Information

Primary practice address
22 Atwood Dr Suite 301 Northampton MA 01060-4272
Fax: (413) 570-4196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 58063 Massachusetts

Profile Details

NPI number 1992765036
LBN Legal business name Porway, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Apr 15th, 2015 - about 11 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 1992765036 NPPES
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts MEDICAID 110044797A UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other J06661 UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other 15514 UNICARE/GIC
Massachusetts MEDICAID 3025365 UNICARE/GIC
Massachusetts Other 04-3476949 UNICARE/GIC
Massachusetts Other 058063 UNICARE/GIC

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