Individual
ALICE GRACE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 CENTRE ST, SOUTHERN JAMAICA PLAIN HEALTH CENTER, JAMAICA PLAIN, MA 02130-2555
(617) 983-4100
Mailing address
640 CENTRE ST, SOUTHERN JAMAICA PLAIN HEALTH CENTER, JAMAICA PLAIN, MA 02130-2555
(617) 983-4100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
216999
MA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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