Moresco, Eleanor P
Moresco, Eleanor P is an individual health care provider with primary practice located at 101 Main St Suite 214, Medford MA 02155-4540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Moresco, Eleanor P can be contacted via phone (781) 391-3885.Contact Information
Primary practice address
101 Main St Suite 214
Medford MA 02155-4540
Phone: (781) 391-3885
Fax: (781) 391-6224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 512131 | Massachusetts |
Profile Details
| NPI number | 1790775211 |
|---|---|
| LBN Legal business name | Moresco, Eleanor P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 30th, 2012 - about 14 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 | 1790775211 | NPPES |
| Massachusetts | MEDICAID | 1211382 |
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