Individual
DEIRDRE F PUCCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
278936
MA
2080P0203X
Pediatric Critical Care Medicine Physician
77101
CT
Other
Enumeration date
06/13/2016
Last updated
12/24/2024
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