Individual
DR. MALLIKA JOY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
151 EVERETT AVE, CHC, CHELSEA HEALTHCARE CENTER URGENT CARE, CHELSEA, MA 02150
(617) 884-8302
(617) 887-3704
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 884-8302
(617) 887-3704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157854
MA
208000000X
Pediatrics Physician
157854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124702
—
MA
01
—
404792
TUFTS HEALTH PLAN
MA
01
—
J22202
BCBS MA
MA
Enumeration date
02/13/2006
Last updated
07/23/2012
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