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Individual

MARCELO FERNANDO DI CARLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6291
(617) 525-7333
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6291
(617) 525-7333

Taxonomy

Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
208966
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0157228
MA
01
208966
TUFTS HEALTH CARE
MA
01
AA3920
HARVARD PILGRIM HEALTH CA
MA
01
J24363
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/20/2005
Last updated
08/02/2012
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