Individual
MR. PHILIP GUY AMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N. B.S.N. C.M.T.
Contact information
Practice address
5 HALL AVE, SOMERVILLE, MA 02144-2003
(617) 623-3278
(617) 623-1332
Mailing address
5 HALL AVE, SOMERVILLE, MA 02144-2003
(617) 623-3278
(617) 623-1332
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
168148
MA
163WD0400X
Diabetes Educator Registered Nurse
168148
MA
163WG0000X
General Practice Registered Nurse
168148
MA
163WM1400X
Nurse Massage Therapist (NMT)
168148
MA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
168148
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
168148
MA
Other
Enumeration date
02/27/2007
Last updated
09/11/2025
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