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NPI Code Detail

MEDICARE: CATALINA OCAMPO

MEDICARE:   CATALINA  OCAMPO
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1306212139
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATALINA OCAMPO
Provider Business Mailing Address
First Line : 5257 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02132-6343
Country : US
Telephone Number : 973-590-0659
Fax Number :
Provider Business Practice Location Address
First Line : 30 WARREN ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-3680
Country : US
Telephone Number : 617-254-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2015
Last Update Date : 02/08/2022

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Directions to “ CATALINA OCAMPO ” Practice Location

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