Individual
MARIETTA M BAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 SMITH RD, MILTON, MA 02186-1023
(781) 769-4000
Mailing address
56 SMITH RD, MILTON, MA 02186-1023
(781) 769-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38550
MA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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