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Mark Howard Selesnick, MD

Family Medicine in Pembroke, MA. Individual provider (NPI-1).

NPI number1285653147
StatusActive
Last updated in NPPESAug 5, 2011

Details

NPI
1285653147
Entity type
Individual (NPI-1)
Name
Mark Howard Selesnick
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2006
Last updated
Aug 5, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine43914MAYes

Practice location

28 Riverside Dr
Pembroke, MA 02359-4947

Phone 781-826-8065 · Fax 781-826-8043

Mailing address

28 Riverside Dr
Pembroke, MA 02359-4947

Phone 781-826-8065 · Fax 781-826-8043

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