Kenneth Andre Mark, M.D.

NPI #1538199310 in Southampton, New York

Provider Information

NPI Number
1538199310
Entity Type
Individual
Name
Kenneth Andre Mark, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Credential
M.D.
Enumeration Date
Jul 4, 2006
Last Updated
Sep 12, 2012

Practice Location

Address
365 COUNTY ROAD 39A
Address 2
SUITE 14
ZIP Code
11968-5284
Phone
(631) 283-0002

Specialties & Taxonomy Codes

Specialty
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery
Dermatology
Dermatology - Procedural DermatologyProcedural Dermatology

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Organizations

Provider Name
Kenneth Mark MD PC

Part of Kenneth Mark M.d. PC

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