Marcello, Peter W

Marcello, Peter W is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Marcello, Peter W can be contacted via phone (781) 744-3760.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001
Phone: (781) 744-3760
Fax: (781) 744-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 74572 Massachusetts
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 74572 Massachusetts

Profile Details

NPI number 1477603660
LBN Legal business name Marcello, Peter W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 8th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477603660 NPPES
Massachusetts MEDICAID 110050867A

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