Individual
MARIELLEN TAYLOR RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1030 FALMOUTH RD, HYANNIS, MA 02601-2324
(617) 909-0085
Mailing address
1030 FALMOUTH RD, HYANNIS, MA 02601-2324
(617) 909-0085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77647
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3115763
—
MA
Enumeration date
10/17/2005
Last updated
07/14/2021
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