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Individual

MS. CHERYL I MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2014 WASHINGTON STREET, NEWTON WELLESLEY HOSPITAL 4 SOUTH, NEWTON, MA 02462
(617) 243-6142
(617) 243-6078
Mailing address
2014 WASHINGTON STREET NEWTON WELLESLEY HOSPITAL, 4 SOUTH PAIN MANAGEMENT, NEWTON, MA 02462
(617) 243-6142
(617) 243-6078

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
151948
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP 3091
BLUE CROSS
MA
05
NP 3091
MA
Enumeration date
02/13/2007
Last updated
11/07/2008
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