MEDICARE: MICHELE SINOPOLI M.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	207V00000X	Obstetrics & Gynecology Physician	231028	MA

General Provider Information

NPI Number	:	1750423125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE SINOPOLI M.D.

Provider Business Mailing Address
First Line	:	5 NEPONSET ST FL STREET2
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01606-2714
Country	:	US
Telephone Number	:	978-466-3207
Fax Number	:	978-840-8683

Provider Business Practice Location Address
First Line	:	225 NEW LANCASTER ROAD
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-4958
Country	:	US
Telephone Number	:	978-466-3207
Fax Number	:	978-840-8683

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	12/13/2018

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