Individual
DR. RAFAEL VICENTE PIERETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, WRN 11, BOSTON, MA 02114-2696
(617) 724-0518
(617) 726-2167
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
231313
MA
2086S0120X
Pediatric Surgery Physician
231313
MA
2088P0231X
Pediatric Urology Physician
Primary
231313
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469154
TUFTS HEALTH PLAN
MA
01
—
J28160
BCBS MA
MA
Enumeration date
11/14/2005
Last updated
08/11/2009
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