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NPI Code Detail

MEDICARE: MARY ELIZABETH CALABRESE DO

MEDICARE:   MARY ELIZABETH  CALABRESE  DO
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
1208000000XPediatrics Physician125070441IL
2208000000XPediatrics Physician283393MA
32080P0006XDevelopmental - Behavioral Pediatrics Physician0102207915VA

General Provider Information

NPI Number : 1881124824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH CALABRESE DO
Provider Business Mailing Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-7025
Fax Number :
Provider Business Practice Location Address
First Line : 8280 WILLOW OAKS CORPORATE DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4526
Country : US
Telephone Number : 571-472-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2017
Last Update Date : 03/27/2024

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Directions to “ MARY ELIZABETH CALABRESE DO” Practice Location

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