Individual
MARISA JUPITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE # SPAN201, BOSTON, MA 02215-5400
(617) 754-4677
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
237391
MA
Other
Enumeration date
06/19/2008
Last updated
10/08/2025
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