Individual
AUDREY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-9793
Mailing address
PO BOX 9135, ATT:SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
154926
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121461
—
MA
05
—
AM45403
—
RI
01
—
MD12369
LICENSE
RI
Enumeration date
11/04/2005
Last updated
02/23/2010
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