Provider Demographics
NPI:1780676155
Name:MARINELLI, FRANKLIN CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:CHARLES
Last Name:MARINELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 RESEARCH PL
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1334
Mailing Address - Country:US
Mailing Address - Phone:978-459-6737
Mailing Address - Fax:978-459-2580
Practice Address - Street 1:20 RESEARCH PL
Practice Address - Street 2:SUITE 220
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2412
Practice Address - Country:US
Practice Address - Phone:978-459-6737
Practice Address - Fax:978-459-2580
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80105207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G45344Medicare UPIN
MAA22409Medicare PIN