Individual
MARCELO CAVALCANTE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7200
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
220046
MA
Other
Enumeration date
09/12/2005
Last updated
01/07/2021
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