Wesley, Mark C

Wesley, Mark C is an individual health care provider with primary practice located at Children'S Hospital Boston, 300 Longwood Ave Division Of Cardiac Anesthesia, Boston MA 02115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wesley, Mark C can be contacted via phone (617) 355-6225.

Contact Information

Primary practice address
Children'S Hospital Boston, 300 Longwood Ave Division Of Cardiac Anesthesia Boston MA 02115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 232274 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME75926 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME75926 Florida

Profile Details

NPI number 1205034196
LBN Legal business name Wesley, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Nov 28th, 2011 - about 14 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 1205034196 NPPES
Florida MEDICAID 254122000

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