MEDICARE: IZABELLA ANA TUCCI

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1316878218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IZABELLA ANA TUCCI

Provider Business Mailing Address
First Line	:	1800 COMMONWEALTH AVE APT 22
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02135-5506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CUMMINGS CTR STE 307E
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-6107
Country	:	US
Telephone Number	:	978-922-2280
Fax Number	:

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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