Mark Anthony Boissonneault is a Dover, Delaware based male podiatrist who is specialized in Podiatrist. Active license number of Mark Anthony Boissonneault for Podiatric Foot & Ankle Surgery is E1-0010279 in Delaware. Mark Anthony Boissonneault is qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mark Anthony Boissonneault speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Gender:
Male
Practice Address:
22 Old Rudnick Lane, Dover, Delaware, 19901
Phone:
302-674-9255
Fax:
302-674-9096
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1508493248
NPI Enumeration Date:
24 Mar, 2020
NPI Last Update On:
31 Aug, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Anthony Boissonneault are as mentioned below.
License Number
Specialization
State
Status
E1-0010279
Podiatric Foot & Ankle Surgery
Delaware
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Anthony Boissonneault such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0000827650
Medicaid
Delaware
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
22 Old Rudnick Lane, Dover, Delaware
Zip:
19901
Phone Number:
302-674-9255
Fax Number:
302-674-9096
Patients can reach Mark Anthony Boissonneault at 22 Old Rudnick Lane, Dover, Delaware or can call to book an appointment on 302-674-9255. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.