Individual
TERESA MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, BOX 360, BOSTON, MA 02111-1526
(617) 636-4625
Mailing address
750 WASHINGTON ST, BOX 360, BOSTON, MA 02111-1526
(617) 636-4625
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
209796
MA
Other
Enumeration date
05/25/2006
Last updated
10/25/2007
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