Individual
MARLEY COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
17 APPLETON ST UNIT 1, BOSTON, MA 02116-6213
(603) 828-8295
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
030121
NY
363A00000X
Physician Assistant
Primary
PA100618
MA
Other
Enumeration date
08/04/2023
Last updated
11/14/2024
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