Individual
MARINA VIVERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-7510
Mailing address
75 FRANCIS ST, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02115-6110
(617) 732-7510
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
257938
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2010
Last updated
03/03/2014
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