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Individual

DR. LOUIS VERNACCHIO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD, MSC

Contact information

Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 277-7320
(617) 277-7834
Mailing address
69 PHILLIPS BROOKS RD, WESTWOOD, MA 02090-2021
(781) 251-9697

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151597
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3156820
MA
Enumeration date
04/26/2006
Last updated
07/08/2007
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