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1912994815

NPI Code Detail

MEDICARE: DOMENICK P SCIARUTO MD

MEDICARE: DOMENICK P SCIARUTO 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	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	74916	MA
2	207P00000X	Emergency Medicine Physician	63938	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-3329195	OTHER	MA	NORTHEAST HEALTH DIRECT
2	04-3329195	OTHER	MA	GREAT-WEST HEALTH PLAN
3	04-3329195	OTHER	MA	PHCS
4	AA38230	OTHER	MA	HARVARD PILGRIM
5	J13367	OTHER	MA	BCBSMA
6	27760	OTHER	MA	HEALTH NEW ENGLAND
7	04-3329195	OTHER	MA	COMMONWEALTH IND (UNICARE
8	30706	OTHER	MD	BMC
9	04-3329195	OTHER	MA	CONSOLIDATED HEALTH PLAN
10	347669	OTHER	MA	TUFTS
11	074916	OTHER	MA	CONNECTICARE
12	6424873	OTHER	MA	CIGNA
13	04-3329195	OTHER	MA	NORTHEAST HEALTHCARE ALLI
14	347669	OTHER	MA	AETNA
15	04-3329195	OTHER	MA	PLAN VISTA
16	04-3329195	OTHER	MA	NORTH AMERICAN PREFERRED

General Provider Information

NPI Number	:	1912994815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMENICK P SCIARUTO MD

Provider Business Mailing Address
First Line	:	60 ROBERTS DR STE 313
Second Line	:
City	:	NORTH ADAMS
State	:	MA
Zip	:	01247-3254
Country	:	US
Telephone Number	:	413-398-5509
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 LOCUST ST
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-2052
Country	:	US
Telephone Number	:	413-582-2363
Fax Number	:	413-582-2914

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	01/15/2020

Similar Medicare Providers

1407893738 — ANDREW MICHAEL CICCARELLI M.D.
Practice Location Address:

30 LOCUST ST
NORTHAMPTON, MA
01060-2052

Practice Phone: 413-582-2101
Practice Fax: 413-582-2949

1043203110 — DR. EUGENE JURA M.D.
Practice Location Address:

30 LOCUST ST
NORTHAMPTON, MA
01060-2052

Practice Phone: 413-582-2792
Practice Fax: 413-582-4675

1700873783 — DR. AHMAD DANIYAL SIDDIQUI MD
Practice Location Address:

30 LOCUST ST
NORTHAMPTON, MA
01060-2052

Practice Phone: 413-582-2000
Practice Fax:

1750370201 — MORRIS EARLE JR. MD
Practice Location Address:

30 LOCUST ST
NORTHAMPTON, MA
01060-2052

Practice Phone: 413-582-2792
Practice Fax: 413-582-4675

1629068119 — DR. GEORGE R BOWERS M.D.
Practice Location Address:

30 LOCUST ST
NORTHAMPTON, MA
01060-2052

Practice Phone: 413-582-2900
Practice Fax: 413-582-2905

1558352179 — KATHARINE O FREEMAN MD
Practice Location Address:

30 LOCUST ST
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01060-2052

Practice Phone: 413-582-2105
Practice Fax: 413-582-2059

Directions to “ DOMENICK P SCIARUTO MD” Practice Location

Language	Start Address	Practice Location

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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