Healthcare Provider Details

I. General information

NPI: 1205412863
Provider Name (Legal Business Name): MARK D HUGHES NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 WASHINGTON ST
NORWELL MA
02061-1795
US

IV. Provider business mailing address

75 WASHINGTON ST
NORWELL MA
02061-1795
US

V. Phone/Fax

Practice location:
  • Phone: 781-878-6495
  • Fax:
Mailing address:
  • Phone: 781-878-6495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN2329927
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: