Healthcare Provider Details

I. General information

NPI: 1568527273
Provider Name (Legal Business Name): AMY MARIE MCGUINNESS RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY MARIE MERRIAM

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 BURTON TER
SOUTH WEYMOUTH MA
02190-2501
US

IV. Provider business mailing address

63 BURTON TERRACE
SOUTH WEYMOUTH MA
02190
US

V. Phone/Fax

Practice location:
  • Phone: 617-699-0771
  • Fax:
Mailing address:
  • Phone: 617-699-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT10733
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: