| Mark H. Abensohn, M.d., L.l.c. | |
|
266 Main St Unit 4 Medfield MA 02052-2043 | |
| (508) 359-8141 | |
| (508) 359-8005 |
| Full Name | Mark H. Abensohn, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 266 Main St, Medfield, Massachusetts |
| Authorized Official Name and Position | Mark Howard Abensohn (OWNER) |
| Authorized Official Contact | 5083598141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H. Abensohn, M.d., L.l.c. Po Box 469 Medfield MA 02052-0469 Ph: (508) 359-8141 | Mark H. Abensohn, M.d., L.l.c. 266 Main St Unit 4 Medfield MA 02052-2043 Ph: (508) 359-8141 |
| NPI Number | 1326137704 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931109485 |
|---|---|
| Medicare Enrollment ID | O20070105000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326137704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 56322, 157592 (Massachusetts) | Primary |
| Provider Name | Mark H Abensohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225005465 PECOS PAC ID: 0345296356 Enrollment ID: I20050323000491 |
| Provider Name | Jennifer T Phan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538443460 PECOS PAC ID: 5092982389 Enrollment ID: I20120127000613 |
| Provider Name | Russell Kling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497168983 PECOS PAC ID: 7719258334 Enrollment ID: I20230324000110 |