Individual
JOHN P OUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1 E MAIN ST, NORTHBOROUGH, MA 01532-1662
(508) 393-1223
(508) 473-7914
Mailing address
1 E MAIN ST, NORTHBOROUGH, MA 01532-1662
(508) 393-1223
(508) 473-7914
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
18315
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018315
TUFTS
MA
01
—
16623
HARVARD PILGRIM
MA
01
—
65505
FALLON
MA
01
—
BLUE CROSS
OUX20085
MA
Enumeration date
11/28/2006
Last updated
07/08/2007
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