DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIAN FAM, MD

Deactivated Sole Proprietor

MARIAN FAM, MD is a Family Medicine healthcare provider located in BOSTON, Massachusetts. NPI 1891291423 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · BOSTON, MA

This NPI has been deactivated. The record was deactivated on December 12, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1891291423
Provider Type
Individual
Gender
Female
NPI Issued
Apr 3, 2018 (3.6931506849315 yrs)
Last Updated
May 18, 2024
Deactivated
Dec 12, 2021
License
A174623 (CA)
Sole Proprietor
Yes

Practice Information

Address
75 STATE ST FL 26
BOSTON, MA, 021091827
Browse MA providers · Browse ZIP 02109
Phone
6172043500
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BOSTON, MA

Name Credential NPI
DR. THOMAS PETER FANTES MD 1972500429
MARCELO CAVALCANTE CAMPOS MD 1790770121
DR. RENEE M CRICHLOW MD 1396731832
DR. DAVID BUCKLE MD 1013905108
DR. MAI TRUC PHAN MD 1255321998
DR. ELIZABETH ANNE TURNOCK MD 1760463954
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.