Individual
ELISA L VALENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 CONGRESS ST, SUITE 3C, QUINCY, MA 02169-0908
(617) 471-0033
Mailing address
500 CONGRESS ST, SUITE 3C, QUINCY, MA 02169-0908
(617) 471-0033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226823
MA
207RG0100X
Gastroenterology Physician
Primary
226823
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037317
NEIGHBORHOOD HEALTH
MA
05
—
110042007A
—
MA
01
—
464528
TUFTS
MA
01
—
AA51828
HARVARD PILGRIM
MA
01
—
J29783
BLUE CROSS
MA
Enumeration date
05/16/2006
Last updated
06/13/2013
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