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NPI Code Detail

MEDICARE: DR. DONALD D FIORILLO D.D.S.

MEDICARE: DR. DONALD D FIORILLO D.D.S.
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 Dentistry14489MA

General Provider Information

NPI Number : 1780673657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD D FIORILLO D.D.S.
Provider Business Mailing Address
First Line : 10 WINTHROP ST
Second Line :
City : WORCESTER
State : MA
Zip : 01604-4435
Country : US
Telephone Number : 508-756-0990
Fax Number :
Provider Business Practice Location Address
First Line : 10 WINTHROP ST
Second Line :
City : WORCESTER
State : MA
Zip : 01604-4435
Country : US
Telephone Number : 508-756-0990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 07/08/2007

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