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Individual
MARILYN C AUGUSTYN
Active
Individual
MARILYN C AUGUSTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
75965
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
75965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110051647A
—
MA
Enumeration date
11/02/2005
Last updated
07/03/2014
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