Individual
DOMINIC RECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 632-9236
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 632-9236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1054
MA
208600000X
Surgery Physician
Primary
285093
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2019
Last updated
06/27/2020
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