Strazzulla, Domenic M

Strazzulla, Domenic M is an sole proprietor health care provider with primary practice located at 500 Congress St Suite 1A-1, Quincy MA 02169-0908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Strazzulla, Domenic M can be contacted via phone (617) 770-1505.

Contact Information

Primary practice address
500 Congress St Suite 1A-1 Quincy MA 02169-0908
Fax: (617) 479-6832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 50129 Massachusetts

Profile Details

NPI number 1609859990
LBN Legal business name Strazzulla, Domenic M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2005
Last updated Dec 27th, 2013 - about 13 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 1609859990 NPPES
Massachusetts MEDICAID 6191266

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