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NPI Code Detail

MEDICARE: ELISA NINA SORRENTINI DO

MEDICARE:   ELISA NINA SORRENTINI  DO
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
1156FX1800XOptician6449MA

General Provider Information

NPI Number : 1861980567
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA NINA SORRENTINI DO
Provider Business Mailing Address
First Line : 40 ENON ST
Second Line :
City : BEVERLY
State : MA
Zip : 01915-1168
Country : US
Telephone Number : 978-922-5996
Fax Number : 978-922-5997
Provider Business Practice Location Address
First Line : 40 ENON ST
Second Line :
City : BEVERLY
State : MA
Zip : 01915-1168
Country : US
Telephone Number : 978-922-5996
Fax Number : 978-922-5997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2018
Last Update Date : 03/09/2026

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Directions to “ ELISA NINA SORRENTINI DO” Practice Location

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