Individual
MARSHALL TRUBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5200
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 421-2508
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33734
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014052
NHP
MA
01
—
033734
TUFTS
MA
05
—
3189741
—
MA
01
—
8194131-002
CIGNA
MA
01
—
G216
HPHC
MA
01
—
M09433
BCBS
MA
Enumeration date
01/09/2007
Last updated
07/08/2007
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