Individual
MARC EMMERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 NORTHAMPTON STREET, BOSTON, MA 02118-4010
(617) 433-9601
(617) 445-6538
Mailing address
30 NORTHAMPTON STREET, BOSTON, MA 02118-4010
(617) 433-9601
(617) 445-6538
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59320
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082865
—
MA
01
—
AA19012
HARVARD PILGRIM NUMBER
MA
01
—
J10694
BCBS NUMBER
MI
Enumeration date
10/24/2006
Last updated
10/22/2015
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