Individual
GREGORY MARCELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
Mailing address
14 DYER AVE, EVERETT, MA 02149-1201
(857) 869-0318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6225
CT
363LF0000X
Family Nurse Practitioner
Primary
RN2290802
MA
Other
Enumeration date
08/13/2015
Last updated
11/16/2023
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