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Individual

MARC PIFKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
88 MONVALE AVE, STONEHAM, MA 02180
(781) 662-6400
(781) 662-2965
Mailing address
88 MONVALE AVE, STONEHAM, MA 02180
(781) 662-6400
(781) 662-2965

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72939
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3063801
MA
Enumeration date
04/14/2006
Last updated
03/21/2017
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