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NPI Code Detail

MEDICARE: MS. MARGUERITE J. ABIZAID MSW

MEDICARE: MS. MARGUERITE J. ABIZAID MSW
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
11041C0700XClinical Social Worker1027415MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P08218OTHERMABLUE CROSS
21035070OTHERMABEACON/NHP/FALLON
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4153158OTHERMAVALUE OPTIONS
5413010OTHERMAMAGELLAN

General Provider Information

NPI Number : 1144298605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGUERITE J. ABIZAID MSW
Provider Business Mailing Address
First Line : 100 S MAIN ST
Second Line : UNIT C
City : MIDDLETON
State : MA
Zip : 01949-2211
Country : US
Telephone Number : 617-838-4794
Fax Number :
Provider Business Practice Location Address
First Line : 100 S MAIN ST
Second Line : UNIT C
City : MIDDLETON
State : MA
Zip : 01949-2211
Country : US
Telephone Number : 617-838-4794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 12/07/2010

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