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Individual

DEIDRE M ALESSIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
26 CENTRAL ST, PRIMARY CARE, SOMERVILLE, MA 02143-2827
(617) 591-6300
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
197431
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110074713A
MA
01
NP1985
BCBS MA
MA
Enumeration date
11/29/2006
Last updated
11/04/2015
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