Individual
DR. EDWARD R. MARCANTONIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 FRANCIS ST, BETH ISRAEL DEACONESS MEDICAL CENTER LMOB SUITE 1B, BOSTON, MA 02215-5501
(617) 632-8696
Mailing address
165 STANFORD DR, WESTWOOD, MA 02090-3319
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
71918
MA
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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