MEDICARE: ALFONSO SERRANO MD

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	208600000X	Surgery Physician	39133	MA
2	2086S0129X	Vascular Surgery Physician	39133	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558320929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFONSO SERRANO MD

Provider Business Mailing Address
First Line	:	50 ROWE ST
Second Line	:	SUITE 100
City	:	MELROSE
State	:	MA
Zip	:	02176-3201
Country	:	US
Telephone Number	:	781-979-6500
Fax Number	:	781-665-3834

Provider Business Practice Location Address
First Line	:	50 ROWE ST
Second Line	:	SUITE 100
City	:	MELROSE
State	:	MA
Zip	:	02176-3201
Country	:	US
Telephone Number	:	781-979-6500
Fax Number	:	781-665-3834

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	09/11/2025

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