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NPI Code Detail

MEDICARE: INGA URBONAITE

MEDICARE: INGA URBONAITE
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
1174400000XSpecialistBOH-25-79MA

General Provider Information

NPI Number : 1023970977
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGA URBONAITE
Provider Business Mailing Address
First Line : 272 ROSEMARY ST
Second Line :
City : NEEDHAM
State : MA
Zip : 02494-3205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 693 HIGH ST
Second Line :
City : WESTWOOD
State : MA
Zip : 02090-2501
Country : US
Telephone Number : 781-478-0038
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ INGA URBONAITE ” Practice Location

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