Provider Demographics
NPI:1245023332
Name:SECUNDES, MARIANA PEREIRA DE MORAIS
Entity type:Individual
Prefix:MS
First Name:MARIANA
Middle Name:PEREIRA DE MORAIS
Last Name:SECUNDES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 GREEN DISTRICT BLVD
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-5311
Mailing Address - Country:US
Mailing Address - Phone:774-245-9678
Mailing Address - Fax:
Practice Address - Street 1:7 BISHOP ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8323
Practice Address - Country:US
Practice Address - Phone:508-879-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program