Individual
MARIE ELIZABETH CANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 ALBANY ST, BOSTON, MA 02118-2518
(617) 267-6767
Mailing address
19 CENTRAL AVE, QUINCY, MA 02169-3107
(617) 267-6767
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
77532
MA
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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