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NPI Code Detail

MEDICARE: LUIGI DATTOLO

MEDICARE: LUIGI DATTOLO
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
1225100000XPhysical Therapist89262MA

General Provider Information

NPI Number : 1568319606
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIGI DATTOLO
Provider Business Mailing Address
First Line : 369 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-6737
Country : US
Telephone Number : 781-777-1782
Fax Number :
Provider Business Practice Location Address
First Line : 369 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-6737
Country : US
Telephone Number : 781-777-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ LUIGI DATTOLO ” Practice Location

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