MEDICARE: GLORIA D ARTIS TECHNICAL OTHER PSC

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
1	247200000X	Other Technician
2	246XS1301X	Sonography Specialist/Technologist Cardiovascular		MA

General Provider Information

NPI Number	:	1538978473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA D ARTIS TECHNICAL OTHER PSC

Provider Business Mailing Address
First Line	:	48 TIMBERLINE RD
Second Line	:
City	:	MILLIS
State	:	MA
Zip	:	02054-1149
Country	:	US
Telephone Number	:	508-558-2363
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 UNIVERSITY AVE
Second Line	:
City	:	WESTWOOD
State	:	MA
Zip	:	02090-2315
Country	:	US
Telephone Number	:	508-376-7777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	02/12/2026

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