MEDICARE: ALLA V MARSHANSKY 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
1	207L00000X	Anesthesiology Physician	159130	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760476592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLA V MARSHANSKY MD

Provider Business Mailing Address
First Line	:	960 MASSACHUSETTS AVE STE 2
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2690
Country	:	US
Telephone Number	:	617-414-4505
Fax Number	:

Provider Business Practice Location Address
First Line	:	736 CAMBRIDGE ST
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-2907
Country	:	US
Telephone Number	:	617-789-2777
Fax Number	:	617-254-6384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	03/17/2025

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Directions to “ ALLA V MARSHANSKY MD” Practice Location

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