Individual
ANGELA DALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 MAIN ST, MARLBOROUGH, MA 01752-3816
(508) 485-0312
(508) 753-5051
Mailing address
31 MAIN ST, MARLBOROUGH, MA 01752-3816
(508) 485-0312
(508) 753-5051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002900
BEACON
MA
01
—
1306421
MBHP
MA
05
—
1306421
—
MA
05
—
1308785
—
MA
01
—
690527
BLUE CROSS
MA
01
—
M18684
BLUE CROSS BLUE SHEILD
MA
Enumeration date
09/02/2010
Last updated
09/02/2010
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