Provider Demographics
NPI:1851136477
Name:SANTOS-MARQUES, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SANTOS-MARQUES
Suffix:
Gender:
Credentials:
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-318-8308
Practice Address - Street 1:1285 BELMONT ST STE 1
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-4440
Practice Address - Country:US
Practice Address - Phone:508-894-7015
Practice Address - Fax:508-794-7861
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant