Dworkind, Marcia F

Dworkind, Marcia F is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dworkind, Marcia F can be contacted via phone (617) 629-6300.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Fax: (617) 629-6090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72376 Massachusetts

Profile Details

NPI number 1174504526
LBN Legal business name Dworkind, Marcia F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174504526 NPPES
Massachusetts MEDICAID 3064492
Massachusetts Other 996682
Massachusetts Other DWJ10678
Massachusetts Other 0004965
Massachusetts Other 0075373
Massachusetts Other 714955
Massachusetts Other 9949769002

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