Individual
MARCELO S SAMPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-7062
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
253248
MA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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