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NPI Code Detail

MEDICARE: PIAMARIE BALLARIN-FELDMAN M.D., P.C.

MEDICARE: PIAMARIE BALLARIN-FELDMAN M.D., P.C.
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
1207Q00000XFamily Medicine Physician57589MA

General Provider Information

NPI Number : 1366645319
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIAMARIE BALLARIN-FELDMAN M.D., P.C.
Provider Business Mailing Address
First Line : 47 ASHBY STATE RD
Second Line : SUITE 102
City : FITCHBURG
State : MA
Zip : 01420-2038
Country : US
Telephone Number : 978-345-0303
Fax Number : 978-345-3529
Provider Business Practice Location Address
First Line : 47 ASHBY STATE RD
Second Line : SUITE 102
City : FITCHBURG
State : MA
Zip : 01420-2038
Country : US
Telephone Number : 978-345-0303
Fax Number : 978-345-3529
Authorized Official
Title or Position : OWNER
Name : PIAMARIE BALLARIN-FELDMAN
Credential : M.D.
Telephone Number : 978-345-0303
Provider Enumeration Date : 06/07/2007
Last Update Date : 09/11/2008

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