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Individual

DR. MARC CENDRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, CHILDRENS UROLOGICAL FOUNDATION, BOSTON, MA 02115-5724
(617) 255-8338
(617) 730-0474
Mailing address
300 LONGWOOD AVE, CHILDRENS UROLOGICAL FOUNDATION, BOSTON, MA 02115-5724
(617) 255-8338
(617) 730-0474

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
73887
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000026240
BMC
01
0015463007
CIG2
01
0029954
NHP
01
073887
TUF
01
11273
HNE
01
1281018
FCHP
01
1900467
UHP
01
30004186
WNH
05
3076075
MA
01
973332
NETHE
01
AA8297
HPHC
01
P3102564
OXFORD
01
Z11048
HEALT
Enumeration date
12/28/2005
Last updated
09/23/2011
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