Mark C Boardman, PA-C
Physician Assistant in Hyannis, MA. Individual provider (NPI-1).
NPI number1659626620
StatusActive
Last updated in NPPESJul 17, 2012
Details
- NPI
- 1659626620
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark C Boardman
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2012
- Last updated
- Jul 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA4424 | MA | Yes |
Practice location
130 North StHyannis, MA 02601-3825
Phone 508-957-6500
Mailing address
130 North StHyannis, MA 02601-3825
Phone 508-957-6500
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All 34 Physician Assistant providers in Hyannis · All 1,742 providers in Hyannis
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