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NPI Code Detail

MEDICARE: DR. GRACIA B PEREZ-LIRIO M.D.

MEDICARE:  DR. GRACIA B PEREZ-LIRIO  M.D.
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
1207R00000XInternal Medicine Physician229635MA

General Provider Information

NPI Number : 1184730012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRACIA B PEREZ-LIRIO M.D.
Provider Business Mailing Address
First Line : 464 HILLSIDE AVENUE
Second Line : SUITE 302
City : NEEDHAM
State : MA
Zip : 02494-1228
Country : US
Telephone Number : 781-449-5170
Fax Number : 781-449-5171
Provider Business Practice Location Address
First Line : 464 HILLSIDE AVENUE
Second Line : SUITE 302
City : NEEDHAM
State : MA
Zip : 02494-1228
Country : US
Telephone Number : 781-449-5170
Fax Number : 781-449-5171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 11/26/2012

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Directions to “ DR. GRACIA B PEREZ-LIRIO M.D.” Practice Location

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