Individual provider · Type 1 NPI

Marc Domina Beaudin, MD, PhD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1700535507 Active

Practice location

840 Harrison Ave, Department Of Pediatrics, Dowling 3 South
Boston, MA 02118-2999

Call (347) 669-4319 Map

Mailing address

22 Auburn St Apt 5
Malden, MA 02148-4056

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700535507

Marc Domina Beaudin, MD, PhD's National Provider Identifier is 1700535507, issued on Mar 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 21, 2022.