Individual
JOSE MANUEL MARCAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 WOODLAND RD, SUITE 306, STONEHAM, MA 02180-1702
(781) 665-3380
(781) 665-4162
Mailing address
91 MONTVALE AVE, STONEHAM, MA 02180-3623
(781) 438-5565
(781) 438-5588
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
49328
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191558
—
MA
01
—
30031
HARVARD PILGRIM HEALTH
MA
01
—
700560
TUFTS HEALTH PLAN
MD
01
—
B00083
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/28/2006
Last updated
11/06/2012
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