Active NPIIndividual provider

Dana Marcinkowski-Desmond, MD

Family Medicine in Medford, Massachusetts

NPI Number1922454677
Practice location
75 Riverside Ave Ste 2, Medford, MA 02155-4600
Fax
—
Last updated
July 29, 2019

Dana Marcinkowski-Desmond is a Family Medicine based in Medford, MA. Dana Marcinkowski-Desmond practices in Medford, MA and has the professional credentials of MD. The NPI Number for Dana Marcinkowski-Desmond is 1922454677 and holds a License No. 277849 (MA). The current practice location address for Dana Marcinkowski-Desmond is 75 Riverside Ave Ste 2, Medford, MA 02155-4600 and can be reached out via phone at 781-306-0200.

Provider Profile Details

NPI Number
1922454677
Provider Name
Dana Marcinkowski-Desmond
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
75 Riverside Ave Ste 2, Medford, MA 02155-4600
Phone Number
781-306-0200
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 12, 2016
Last Update Date
July 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Riverside Ave Ste 2
Medford, MA 02155-4600
Zip
02155-4600
Phone Number
781-306-0200
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
75 Riverside Ave Ste 2
Medford, MA 02155-4600
City
Medford
State
MA
Zip
02155-4600

License Information

License Number
277849
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dana Marcinkowski-Desmond, MD?

The NPI number of Dana Marcinkowski-Desmond, MD is 1922454677. It was assigned on May 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Dana Marcinkowski-Desmond, MD?

Dana Marcinkowski-Desmond, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 277849.

Where does Dana Marcinkowski-Desmond, MD practice?

The practice location is 75 Riverside Ave Ste 2, Medford, MA 02155-4600. The office can be reached at 781-306-0200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922454677 directly on the NPPES registry website.

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