Mark R Korst
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1629879986
StatusActive
Last updated in NPPESMar 22, 2025
Details
- NPI
- 1629879986
- Entity type
- Individual (NPI-1)
- Name
- Mark R Korst
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2025
- Certification date
- Mar 22, 2025
- Last updated
- Mar 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2000
Mailing address
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2000
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