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Individual

ANDREW DEAN ALEX MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 DEACONESS RD FL 2, BOSTON, MA 02215-5321
(617) 754-2320
Mailing address
1 DEACONESS RD FL 2, BOSTON, MA 02215-5321
(617) 754-2400

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125066914
IL
207P00000X
Emergency Medicine Physician
Primary
274195
MA

Other

Enumeration date
06/16/2015
Last updated
02/22/2019
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