National Provider Identifier
Mark Samuelsen, PA-C
Mark Samuelsen, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 726-2000.
Source: public NPPES record, last updated April 30, 2017. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1407381213
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- April 30, 2017
- Last Updated
- April 30, 2017
Practice Location
- 55 Fruit St
- Boston, MA 02114-2621
Phone: (617) 726-2000
Specialties
- Surgical Physician Assistant (363AS0400X)
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Biography
Mark Samuelsen, PA-C, is a Boston-based physician assistant with experience at Massachusetts General Hospital. He is also listed by Bryant University as a PA Lab Instructor in its Physician Assistant Program, and his public profile notes NCCPA certification and Bryant training.
Full Record
- NPI
- 1407381213
- Entity Type
- Individual
- Last Name
- Samuelsen
- First Name
- Mark
- Credential
- PA-C
- Mailing Street Address
- 55 Fruit St
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02114-2621
- Mailing Country
- US
- Practice Street Address
- 55 Fruit St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02114-2621
- Practice Country
- US
- Practice Phone
- (617) 726-2000
- Enumeration Date
- April 30, 2017
- Last Updated
- April 30, 2017
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Surgical Physician Assistant (363AS0400X)