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NPI Code Detail

MEDICARE: ERMIONI MEMA

MEDICARE: ERMIONI MEMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA100213MA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356113138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERMIONI MEMA
Provider Business Mailing Address
First Line : 20 ONEIL BLVD
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-1854
Country : US
Telephone Number : 508-222-2021
Fax Number : 508-342-1907
Provider Business Practice Location Address
First Line : 20 ONEIL BLVD
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-1854
Country : US
Telephone Number : 508-222-2021
Fax Number : 508-342-1907
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2023
Last Update Date : 10/07/2025

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Directions to “ ERMIONI MEMA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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