Organization
DOMENIC M STRAZZULLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENIC M STRAZZULLA MD (PRESIDENT/OWNER)
(617) 770-1505
Entity
Organization
Contact information
Practice address
500 CONGRESS ST, SUITE 1A-1, QUINCY, MA 02169-0908
(617) 770-1505
Mailing address
500 CONGRESS ST, SUITE 1A-1, QUINCY, MA 02169-0908
(617) 770-1505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050129
TUFTS
MA
05
—
6191266
—
MA
01
—
734976
TUFTS
MA
Enumeration date
07/23/2007
Last updated
07/23/2007
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