Individual
MR. JEFFREY R TONELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPA-C, ATC
Contact information
Practice address
850 HARRISON AVE, YAWKEY ACC 3 ORTHOPAEDICS, BOSTON, MA 02118-4001
(671) 414-2598
(617) 414-2556
Mailing address
PO BOX 1516, SAGAMORE BEACH, MA 02562-1516
(508) 889-0880
(508) 888-3145
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AH-51
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AH-51
ALLIED HEALTH
MA
Enumeration date
03/01/2007
Last updated
07/08/2007
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