Individual
MARIELLE C BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119-4401
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2371
(617) 414-5404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270061
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
270061
MA
Other
Enumeration date
04/10/2014
Last updated
03/11/2024
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