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NPI Code Detail

MEDICARE: DR. MARCIA F DWORKIND MD

MEDICARE: DR. MARCIA F DWORKIND 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
1208000000XPediatrics Physician72376MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2996682OTHERMANH
3DWJ10678OTHERMABCBS
40004965OTHERMANHP
50075373OTHERMAAETNA
6714955OTHERMATHP
79949769002OTHERMACIGNA

General Provider Information

NPI Number : 1174504526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCIA F DWORKIND MD
Provider Business Mailing Address
First Line : 40 HOLLAND ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2705
Country : US
Telephone Number : 617-629-6300
Fax Number : 617-629-6090
Provider Business Practice Location Address
First Line : 40 HOLLAND ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2705
Country : US
Telephone Number : 617-629-6300
Fax Number : 617-629-6090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 03/07/2021

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Directions to “ DR. MARCIA F DWORKIND MD” Practice Location

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