Provider Demographics
NPI:1174686968
Name:MARCELLINO, ANNE MARIE (DC, CCEP)
Entity Type:Individual
Prefix:
First Name:ANNE MARIE
Middle Name:
Last Name:MARCELLINO
Suffix:
Gender:F
Credentials:DC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2940
Mailing Address - Country:US
Mailing Address - Phone:781-942-7121
Mailing Address - Fax:781-942-7302
Practice Address - Street 1:2 LINDEN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2940
Practice Address - Country:US
Practice Address - Phone:781-942-7121
Practice Address - Fax:781-942-7302
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor