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Individual

MARSHALL L LUKOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
500 CONGRESS ST, 1D, QUINCY, MA 02169-0908
(617) 479-7921
(617) 774-1458
Mailing address
500 CONGRESS ST, 1D, QUINCY, MA 02169-0908
(617) 479-7921
(617) 774-1458

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1498
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0334081
MA
Enumeration date
06/17/2006
Last updated
11/05/2007
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