Individual
LUIS ISMAEL BIZZARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 MASS AVE, BOSTON, MA 02118-2620
(857) 523-0142
Mailing address
960 MASS AVE, BOSTON, MA 02118-2620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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