Individual
COREY MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(207) 590-4278
Mailing address
37 SARGENT ST, WINTHROP, MA 02152-2805
(207) 590-4278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2275020
MA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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