Individual
DANA MARCINKOWSKI-DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 RIVERSIDE AVE STE 2, MEDFORD, MA 02155-4600
(781) 306-0200
Mailing address
75 RIVERSIDE AVE STE 2, MEDFORD, MA 02155-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
277849
MA
Other
Enumeration date
05/12/2016
Last updated
07/29/2019
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