Individual
J PAUL MARCOUX II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, DANA FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-3468
(617) 632-5786
Mailing address
450 BROOKLINE AVE, DANA FARBER CANCER INSTITUTE, BOSTON, MA 02215-5418
(617) 632-3468
(617) 632-5786
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
73616
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073616
TUFTS
—
05
—
3074064
—
MA
01
—
4884121
CIGNA
—
01
—
65554
FALLON COMMUNITY HEALTH P
—
01
—
9497
HPHC DFCI ONLY
—
01
—
J10672
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/29/2006
Last updated
12/19/2014
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