Lisa Antonelli Md

NPI 1235129222 - Internal Medicine - 207RC0000X

NPI Details
NPI 1235129222
Enumeration Date 10/21/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LISA LISA
Position PRESIDENT
Phone (617) 472-6953
Fax (617) 773-2193
Practice Location
500 CONGRESS ST
STE 2F
QUINCY MA, 02169-0908, US
Phone (617) 472-6953
Fax (617) 773-2193
Business Location
460 TOTTEN POND RD
C O MZI
WALTHAM MA, 02451-1906, US
Phone (781) 890-9933
Fax (781) 890-9950
Toxanomy
Taxonomy Code 207RC0000X
License State
License Number
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According to our database, Lisa Antonelli Md NPI is 1235129222, taxonomy code is 207RC0000X Lisa Antonelli Md physically located at 500 Congress St, Quincy MA, 02169-0908. NPI Number 1033115704 has the healthcare provider type.

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1235129222 NPI number is provided on an as is basis without warranty of any kind. 1235129222 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Antonelli Md are for informational purposes only.