Individual
DR. MARISA MODINI BOCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36 ESSEX RD, IPSWICH, MA 01938-2599
(978) 356-5522
(978) 356-0218
Mailing address
36 ESSEX ROAD, IPSWICH, MA 01938
(978) 356-5522
(978) 356-0218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160017
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3197611
—
MA
Enumeration date
05/18/2006
Last updated
09/23/2020
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