Individual
DR. NONA M GIRARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 DIMOCK ST, ROXBURY, MA 02119-1208
(617) 442-8800
(617) 541-8472
Mailing address
913 ESTATES DR, LOS ALAMOS, NM 87544-2785
(505) 412-0670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F6627
—
NM
01
—
NMAAA0304
MEDICARE PTAN
—
Enumeration date
07/07/2006
Last updated
03/11/2021
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