Individual
ELIANA COSTANTINO BURGAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73D WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 686-3017
(978) 685-4280
Mailing address
73D WINTHROP AVE, LAWRENCE, MA 01843-3716
(978) 686-3017
(978) 685-4280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292816
MA
207Q00000X
Family Medicine Physician
BP10059763
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/24/2017
Last updated
09/21/2022
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