Provider Information for 1710339866
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MATTIA CIANFRONE
Sex: Male
NPI: 1710339866
Last Updated: 2024-12-26
Certification Date: 2024-12-26
Certification Date: 2024-12-26
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710339866 | ||||||||
| Enumeration Date | 2016-07-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 43 RUSTIC ST NEWTON, MA 02458-1024 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 51 DIX ST WALTHAM, MA 02453-6552 United States Phone: 781-999-5416 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|