MEDICARE: MRS. JACQUELINE PERELLA TOOMEY

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
1	104100000X	Social Worker	111765	MA

General Provider Information

NPI Number	:	1285115014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JACQUELINE PERELLA TOOMEY

Provider Business Mailing Address
First Line	:	98 COUNTY RD
Second Line	:
City	:	READING
State	:	MA
Zip	:	01867-3334
Country	:	US
Telephone Number	:	617-699-8987
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 FRANCES ST
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-3006
Country	:	US
Telephone Number	:	781-994-3807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2018
Last Update Date	:	08/29/2018

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