Provider Demographics
NPI:1871931162
Name:UMPHREY, MARK STEPHEN II (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEPHEN
Last Name:UMPHREY
Suffix:II
Gender:M
Credentials:DO, MPH
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Mailing Address - Street 1:14 TAUNTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2738
Mailing Address - Country:US
Mailing Address - Phone:508-285-9500
Mailing Address - Fax:508-285-3388
Practice Address - Street 1:14 TAUNTON AVE
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2738
Practice Address - Country:US
Practice Address - Phone:508-285-9500
Practice Address - Fax:508-285-3388
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2016-05-28
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Provider Licenses
StateLicense IDTaxonomies
MA261905207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine