Individual
DR. DEWAYNE MARQUES PURSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5400
(617) 667-3276
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5400
(617) 667-3276
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
57285
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066231
—
MA
Enumeration date
06/02/2006
Last updated
07/08/2007
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