Individual
ADAM IZZICUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 PEARL ST, SUITE 2, MALDEN, MA 02148-6644
(781) 321-8785
(781) 321-8063
Mailing address
405 PEARL ST, SUITE 2, MALDEN, MA 02148-6644
(781) 321-8785
(781) 321-8063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AH20862
MA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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