Individual
DR. DENNIS ARTHUR AUSIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 740, BOSTON, MA 02114-2621
(617) 726-5660
(617) 724-7441
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-5660
(617) 724-7441
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
34978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034978
TUFTS HEALTH PLAN
MA
05
—
2046261
—
MA
01
—
M09306
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
01/03/2013
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