MARK F MAVILIA

TRISTAN MEDICAL PC

Dr MARK F MAVILIA is a male medical professional, specializing in Nurse Practitioner. He graduated in 2016.

Contact

TRISTAN MEDICAL PC

675 PARAMOUNT DR
SUITE 203
RAYNHAM
MA
027675416

Tel: 5088800012117

MARK F MAVILIA Information

Npi 1306204284
Pac Id 4486940020
Professional Enrollment Id I20160908001665
Last Name MAVILIA
First Name MARK
Middle Name F
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name TRISTAN MEDICAL PC
Group Practice Pac Id 9739141037
Number Of Group Practice Members 17
Line 1 Street Address 675 PARAMOUNT DR
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City RAYNHAM
State MA
Zip Code 027675416
Phone Number 5088800012117
Hospital Affiliation Ccn 1 220073
Hospital Affiliation Lbn 1 MORTON HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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