Provider Demographics
NPI:1790909174
Name:SAMENFELD-SPECHT, MARJA K (MD)
Entity Type:Individual
Prefix:DR
First Name:MARJA
Middle Name:K
Last Name:SAMENFELD-SPECHT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:750 WASHINGTON ST
Mailing Address - Street 2:RADIOLOGY DEPT., NEMC #299
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1526
Mailing Address - Country:US
Mailing Address - Phone:617-636-0067
Mailing Address - Fax:
Practice Address - Street 1:750 WASHINGTON ST
Practice Address - Street 2:RADIOLOGY DEPT., NEMC #299
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1526
Practice Address - Country:US
Practice Address - Phone:617-636-0067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2288192085D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging