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NPI Code Detail

MEDICARE: DR. LUIGI ARTURO PALERMO D.M.D.

MEDICARE: DR. LUIGI ARTURO PALERMO D.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
11223G0001XGeneral Practice Dentistry19057MA
21223G0001XGeneral Practice DentistryMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1976434OTHERMAUCCI
2X11527OTHERMABC/BS OF MA

General Provider Information

NPI Number : 1750474698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIGI ARTURO PALERMO D.M.D.
Provider Business Mailing Address
First Line : 54 COLONIAL DR
Second Line :
City : SHREWSBURY
State : MA
Zip : 01545-1543
Country : US
Telephone Number : 508-842-3433
Fax Number : 978-874-5428
Provider Business Practice Location Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-7363
Fax Number : 978-874-5428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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