Basic Information
Provider Information
NPI: 1578730032
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIPARTIA
FirstName: MARINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4145
Address2:  
City: WOBURN
State: MA
PostalCode: 018884145
CountryCode: US
TelephoneNumber: 6035243211
FaxNumber: 6035277038
Practice Location
Address1: 115 LINCOLN ST
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017026358
CountryCode: US
TelephoneNumber: 5083831479
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/14/2008
LastUpdateDate: 03/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X250717MAY Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X250717MAN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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