MEDICARE: THERESA ROSE CERULLI 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
1	2084P0800X	Psychiatry Physician	152303	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871604066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA ROSE CERULLI MD

Provider Business Mailing Address
First Line	:	4 BRISTOL LN
Second Line	:
City	:	ANDOVER
State	:	MA
Zip	:	01810-5813
Country	:	US
Telephone Number	:	978-475-0592
Fax Number	:

Provider Business Practice Location Address
First Line	:	790 TURNPIKE ST
Second Line	:	SUITE 106
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6144
Country	:	US
Telephone Number	:	978-683-6065
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1063469047 — DR. THERESA LOUISE LAVOIE PH.D.
Practice Location Address:

790 TURNPIKE ST , SUITE 106
NORTH ANDOVER, MA
01845-6144

Practice Phone: 978-683-6065
Practice Fax:

1245278811 — PATRIOT ORTHOTIC PRODUCTS LLC
Practice Location Address:

790 TURNPIKE ST , SUITE 202
NORTH ANDOVER, MA
01845-6144

Practice Phone: 978-794-5528
Practice Fax: 978-794-5529

1225047533 — DR. AARON JEFFERY POLLOCK D.C.
Practice Location Address:

790 TURNPIKE ST , SUITE 300
NORTH ANDOVER, MA
01845-6144

Practice Phone: 978-327-5960
Practice Fax: 978-327-5962

1861687949 — AARON POLLOCK, PC
Practice Location Address:

790 TURNPIKE ST , SUITE 300
NORTH ANDOVER, MA
01845-6144

Practice Phone: 978-327-5960
Practice Fax: 978-327-5962

1538318514 — RACHELLE H KING, DC, PC
Practice Location Address:

790 TURNPIKE ST , SUITE 300
NORTH ANDOVER, MA
01845-6144

Practice Phone: 978-327-5960
Practice Fax:

1891166559 — TODAYS WELLNESS PLLC
Practice Location Address:

790 TURNPIKE ST
NORTH ANDOVER, MA
01845-6144

Practice Phone: 978-687-2273
Practice Fax:

Directions to “ THERESA ROSE CERULLI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.