Individual
DR. MARJORY CHARLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 HARRISON AVE, MOAKLEY BUILDING, 3RD FLOOR, BOSTON, MA 02118-2905
(617) 638-6428
(617) 638-5756
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230089
MA
207RX0202X
Medical Oncology Physician
Primary
230089
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110075858A
—
MA
Enumeration date
08/22/2006
Last updated
09/26/2017
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