Individual
DR. JOSE MARCHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MD
Contact information
Practice address
6 ESSEX CENTER DR, PEABODY, MA 01960-2910
(978) 531-1450
(978) 531-9984
Mailing address
6 ESSEX CENTER DR, PEABODY, MA 01960-2905
(978) 531-1450
(978) 531-9984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18790
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205273
—
MA
01
—
760850
TUFTS
MA
01
—
AA65447
HP
MA
01
—
AA68463
HP
MA
01
—
AA69690
HP
MA
01
—
V06473
BS
MA
01
—
X09533
BS
MA
Enumeration date
12/09/2005
Last updated
04/13/2010
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