| Organization Name: | MARK URMAN MD PC |
| NPI Number: | 1205270030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK Y URMAN (OWNER) |
| Mailing Address: | 321 Hammond Pond Pkwy Unit # 203 Chestnut Hill |
| State: | MA US |
| Postal Code: | 024672669 |
| Phone Number: | 6176105082 |
| Fax Number: | 6176636262 |
| NPI Enumeration Date: | 04/23/2013 |
| NPI Last Update Date: | 06/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 216846 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |