Healthcare Provider Details

I. General information

NPI: 1841118767
Provider Name (Legal Business Name): PADRAIG JOSEPH TITTEMORE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 CHELMSFORD ST
CHELMSFORD MA
01824-2305
US

IV. Provider business mailing address

227 CHELMSFORD ST
CHELMSFORD MA
01824-2305
US

V. Phone/Fax

Practice location:
  • Phone: 978-682-7289
  • Fax: 978-221-5831
Mailing address:
  • Phone: 978-682-7289
  • Fax: 978-221-5831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: