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NPI Code Detail

MEDICARE: DOMINIC PISELLO

MEDICARE:   DOMINIC  PISELLO
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
1133V00000XRegistered Dietitian86434467MA

General Provider Information

NPI Number : 1942164272
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIC PISELLO
Provider Business Mailing Address
First Line : 8 LAFOLLETTE RD
Second Line :
City : ASHLAND
State : MA
Zip : 01721-1404
Country : US
Telephone Number : 508-561-9827
Fax Number :
Provider Business Practice Location Address
First Line : 8 LAFOLLETTE RD
Second Line :
City : ASHLAND
State : MA
Zip : 01721-1404
Country : US
Telephone Number : 508-561-9827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ DOMINIC PISELLO ” Practice Location

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