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1407381213
MARK SAMUELSEN
BOSTON, MA
NPI
1407381213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-04-30
Last Update Date
2017-04-30
Business Address
-- MARK SAMUELSEN PA-C
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-726-2000
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Mailing Address
-- MARK SAMUELSEN PA-C
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number:
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