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NPI Code Detail

MEDICARE: ELLIOTT PAINTSIL MD

MEDICARE: ELLIOTT PAINTSIL MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1780526764
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIOTT PAINTSIL MD
Provider Business Mailing Address
First Line : 84 FARM VIEW RD
Second Line :
City : BETHANY
State : CT
Zip : 06524-3382
Country : US
Telephone Number : 203-605-7785
Fax Number :
Provider Business Practice Location Address
First Line : 235 N PEARL ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-1794
Country : US
Telephone Number : 508-427-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ ELLIOTT PAINTSIL MD” Practice Location

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