Healthcare Provider Details

I. General information

NPI: 1457757254
Provider Name (Legal Business Name): MARITZA FELIZ CEPIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2014
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 NORWOOD PARK S STE 106
NORWWOD MA
02062-4633
US

IV. Provider business mailing address

115 NORWOOD PARK S STE 106
NORWOOD MA
02062-4633
US

V. Phone/Fax

Practice location:
  • Phone: 781-352-4777
  • Fax: 781-352-4778
Mailing address:
  • Phone: 781-352-4777
  • Fax: 781-352-4778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number20007
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number1023579
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberMD20069
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD20069
License Number StateRI
# 5
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number20007
License Number StateNH
# 6
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number1023579
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD20069
License Number StateRI
# 8
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number1023579
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: