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NPI Code Detail

MEDICARE: DR. BRUCE RAYMOND MARCEL MD

MEDICARE: DR. BRUCE RAYMOND MARCEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician36045MA

General Provider Information

NPI Number : 1770540346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE RAYMOND MARCEL MD
Provider Business Mailing Address
First Line : 47 OBERY ST
Second Line : STE 201
City : PLYMOUTH
State : MA
Zip : 02360-2230
Country : US
Telephone Number : 508-747-1560
Fax Number : 508-747-5155
Provider Business Practice Location Address
First Line : 47 OBERY ST
Second Line : STE 201
City : PLYMOUTH
State : MA
Zip : 02360-2230
Country : US
Telephone Number : 508-747-1560
Fax Number : 508-747-5155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 11/15/2016

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