Calisto-Cooney, Marietta
Calisto-Cooney, Marietta is an individual health care provider with primary practice located at 148 Industrial Park Rd , Plymouth MA 02360-7243. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Calisto-Cooney, Marietta can be contacted via phone (508) 746-5900.Contact Information
Primary practice address
148 Industrial Park Rd
Plymouth MA 02360-7243
Phone: (508) 746-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 156618 | Massachusetts |
Profile Details
| NPI number | 1730255126 |
|---|---|
| LBN Legal business name | Calisto-Cooney, Marietta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Feb 2nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730255126 | NPPES |
| Massachusetts | MEDICAID | 3178510 |
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