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NPI Code Detail

MEDICARE: BRITTANY ANN IRWIN

MEDICARE: BRITTANY ANN IRWIN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1518288992
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY ANN IRWIN
Provider Business Mailing Address
First Line : 192 CHESTNUT ST
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-3304
Country : US
Telephone Number : 978-729-8502
Fax Number :
Provider Business Practice Location Address
First Line : 148 WARREN ST
Second Line : SOUTH BAY EARLY INTERVENTION
City : LOWELL
State : MA
Zip : 01852-2208
Country : US
Telephone Number : 978-452-1736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2010
Last Update Date : 06/19/2010

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