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General NPI Number Information
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NPI Number | 1083143127
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Entity Type | Individual
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Provider Name | JULIA MARIO MD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 14 PROSPECT ST
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City | MILFORD
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State | MA
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Zip | 01757-3003
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Country | US
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Telephone | 508-847-1190
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Fax | 508-863-3687
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Provider Business Mailing Address
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Address Line | PO BOX 415348
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City | BOSTON
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State | MA
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Zip | 02241-5348
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Country | US
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Telephone | 800-225-8885
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 271898
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 285700
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License Number State | MA
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