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Organization

PRECISION PHYSICAL THERAPY & SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMENIC X VISOCCHI PT (OWNER PRESIDENT)
(781) 395-7333
Entity
Organization

Contact information

Practice address
5 HIGH ST, SUITE 203, MEDFORD, MA 02155-3860
(781) 395-7333
(781) 395-7331
Mailing address
5 HIGH ST, SUITE 203, MEDFORD, MA 02155-3860
(781) 395-7333
(781) 395-7331

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
15414
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
698184
TUFTS
MA
Enumeration date
07/28/2006
Last updated
08/22/2020
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