Mark A Dutille, PA-C
Physician Assistant in Springfield, Massachusetts
1447268149- Practice location
- 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107
- Phone
- 413-785-4666
- Fax
- 413-846-4756
- Last updated
- February 12, 2024
Mark A Dutille is a Physician Assistant based in Springfield, MA. Mark A Dutille practices in Springfield, MA and has the professional credentials of PA-C. The NPI Number for Mark A Dutille is 1447268149 and holds a License No. 766 (MA). The current practice location address for Mark A Dutille is 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 and can be reached out via phone at 413-785-4666 and via fax at 413-846-4756.
Provider Profile Details
- NPI Number
- 1447268149
- Provider Name
- Mark A Dutille
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107
- Phone Number
- 413-785-4666
- Fax Number
- 413-846-4756
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2006
- Last Update Date
- February 12, 2024
- Certification Date
- February 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Birnie Ave
Ste 201
Springfield, MA 01107-1107 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1107
- Phone Number
- 413-785-4666
- Fax Number
- 413-846-4756
Provider Business Mailing Address Details
- Address
- 300 Birnie Ave
Ste 201
Springfield, MA 01107-1107 - City
- Springfield
- State
- MA
- Zip
- 01107-1107
- Phone Number
- 413-785-4666
- Fax Number
- 413-846-4756
License Information
- License Number
- 766
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark A Dutille, PA-C?
The NPI number of Mark A Dutille, PA-C is 1447268149. It was assigned on August 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Mark A Dutille, PA-C?
Mark A Dutille, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 766.
Where does Mark A Dutille, PA-C practice?
The practice location is 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107. The office can be reached at 413-785-4666 (phone) or 413-846-4756 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447268149 directly on the NPPES registry website.