Individual
STANLEY MARCUS DESIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST # 444, BOSTON, MA 02114-2696
(617) 726-3030
Mailing address
55 FRUIT ST # 444, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1016039
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
05/30/2023
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