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NPI Code Detail

MEDICARE: JESSICA A CINTOLO-GONZALEZ M.D.

MEDICARE: JESSICA A CINTOLO-GONZALEZ 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
1208600000XSurgery Physician25MA10173500NJ
2208600000XSurgery Physician042.0013882VT

General Provider Information

NPI Number : 1225290521
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA A CINTOLO-GONZALEZ M.D.
Provider Business Mailing Address
First Line : 147 HILLSIDE ST APT 2
Second Line :
City : BOSTON
State : MA
Zip : 02120-2863
Country : US
Telephone Number : 857-600-8756
Fax Number :
Provider Business Practice Location Address
First Line : 111 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1473
Country : US
Telephone Number : 802-847-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 04/15/2026

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