MEDICARE: DR. PATRICIA MURPHY MAUCERI AU.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
1	231H00000X	Audiologist	AU149	MA

General Provider Information

NPI Number	:	1306963574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA MURPHY MAUCERI AU.D.

Provider Business Mailing Address
First Line	:	22 SUMNER ST
Second Line	:
City	:	SWAMPSCOTT
State	:	MA
Zip	:	01907-1449
Country	:	US
Telephone Number	:	781-599-0945
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 LEON ST
Second Line	:	503 BEHRAKIS CENTER AT NORTHEASTERN UNIVERSITY
City	:	BOSTON
State	:	MA
Zip	:	02115-5009
Country	:	US
Telephone Number	:	617-373-7016
Fax Number	:

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

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	08/30/2011

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