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Individual

LUIGI PACIFICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
123 SUMMER ST, SUITE 290 N, WORCESTER, MA 01608
(508) 368-3130
(508) 368-3133
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 368-3130
(508) 368-3133

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
71660
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042472266
ONE HEALTH PLAN
01
043058466
HEALTHCARE VALUE MGMT
01
1061138
FIRST HEALTH
01
2500247
EVERCARE
01
26916
CHILDRENS MED SECURITY
01
3137201
MEDICAID PCC
01
3142558
MEDICAID WELFARE
05
3142558
MA
01
5432660
AETNA US HEALTHCARE
01
5818752
CIGNA HEALTH PLAN
01
784062
MVP HEALTH CARE
01
991143
FALLON COMMUNITY HEALTH
01
A20386
MEDICARE B
01
AA2840
HARVARD PILGRIM
01
J16208
BLUE SHIELD INDEMNITY
Enumeration date
02/15/2006
Last updated
02/20/2009
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