Male or Other

Gregory Q. Marsella M.D.

Psychiatry Physician in Boca Raton, FL(View on Map)

Full Name

Gregory Q Marsella M.D.

NPI Number

1285721241

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/09/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME51261

Contact
Information

Purpose

Mailing
Location

Address

3648 MYKONOS CT
8000 N FEDERAL HWY STE 110

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33487-1295
33487-1681

Country

US
US

Telephone Number

(561) 789-9922
(561) 394-2532

Identifiers

Identifier

376683700
04790
04790A

Identifier State

FL
FL
FL

Identifier Issuer

Unknown
MEDICARE PTAN
MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/01/2024

Provider Address

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