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NPI Code Detail

MEDICARE: JEREMY GIANNETTI

MEDICARE: JEREMY GIANNETTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1003288705
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY GIANNETTI
Provider Business Mailing Address
First Line : 78 MAIN ST
Second Line :
City : WARE
State : MA
Zip : 01082-1318
Country : US
Telephone Number : 413-747-0705
Fax Number : 413-732-7075
Provider Business Practice Location Address
First Line : 78 MAIN ST
Second Line :
City : WARE
State : MA
Zip : 01082-1318
Country : US
Telephone Number : 413-747-0705
Fax Number : 413-732-7075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2015
Last Update Date : 10/21/2015

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Directions to “ JEREMY GIANNETTI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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