Healthcare Provider Details

I. General information

NPI: 1801752621
Provider Name (Legal Business Name): PIERA M LOCONTRO RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/25/2025
Last Update Date: 12/25/2025
Certification Date: 12/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 ESSEX ST
BEVERLY MA
01915-1958
US

IV. Provider business mailing address

6 WARNER ST
GLOUCESTER MA
01930-2820
US

V. Phone/Fax

Practice location:
  • Phone: 978-927-3260
  • Fax:
Mailing address:
  • Phone: 978-879-8313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: