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  5. Dr. Mark D. Dexter M.D.
Male or Other

Dr. Mark D. Dexter M.D.

Pediatric Critical Care Medicine Physician in Boston, MA(View on Map)

Full Name

Dr. Mark David Dexter M.D.

NPI Number

1033408513

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/05/2011

Specialties

(Taxonomies)

Name

Pediatric Critical Care Medicine Physician

Code

2080P0203X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

281842

Contact
Information

Purpose

Mailing
Location

Address

300 LONGWOOD AVE
300 LONGWOOD AVE

City

Boston
Boston

State

MA
MA

Postal Code

02115-5737
02115-5737

Country

US
US

Telephone Number

(617) 355-6000
(617) 355-6000

Identifiers

Identifier

110158942A
281842
S400622433

Identifier State

MA
MA
MA

Identifier Issuer

Unknown
MA MEDICAL LICENSE
MEDICARE

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mdexter82042@connecticutchildrens.direct-ci.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

282 Washington StHartford, CT061063322US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/05/2023

Provider Address

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