Mark Richard Etherton is a neurology psychiatry neurology in Boston, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Mark Richard Etherton NPI is 1023375946. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
55 FRUIT ST
WACC 720
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-8459
The NPI 1023375946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/17/2012 and was last updated on 1/23/2017.