Individual
HIABELLA FOGGIATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3920 MYSTIC VALLEY PKWY APT 717, MEDFORD, MA 02155-6908
(781) 420-2106
Mailing address
3920 MYSTIC VALLEY PKWY APT 717, MEDFORD, MA 02155-6908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG01260068
MA
363LA2200X
Adult Health Nurse Practitioner
RN2368421
MA
Other
Enumeration date
01/30/2026
Last updated
04/13/2026
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