Pursley, Dewayne Marques
Pursley, Dewayne Marques is an individual health care provider with primary practice located at 330 Brookline Ave Beth Israel Deaconess Medical Center, Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Pursley, Dewayne Marques can be contacted via phone (617) 667-3276.Contact Information
Primary practice address
330 Brookline Ave Beth Israel Deaconess Medical Center
Boston MA 02215-5400
Phone: (617) 667-3276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 57285 | Massachusetts |
Profile Details
| NPI number | 1629016878 |
|---|---|
| LBN Legal business name | Pursley, Dewayne Marques |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629016878 | NPPES |
| Massachusetts | MEDICAID | 3066231 |
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