Organization
MARIO F MORETTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO F. MORETTI MD (OWNER)
(508) 757-4135
Entity
Organization
Contact information
Practice address
12 TATUM RD, SHREWSBURY, MA 01545-3751
(508) 757-4135
(508) 865-1109
Mailing address
12 TATUM RD, SHREWSBURY, MA 01545-3751
(508) 757-4135
(508) 865-1109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27540
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084708
—
MA
01
—
T02607
BLUE SHIELD
MA
Enumeration date
10/06/2006
Last updated
08/22/2020
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