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Individual

MS. TINA M. SCARLATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CRNA

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(978) 538-4000
Mailing address
1 ESSEX CENTER DR, PEABODY, MA 01960
(978) 538-4528

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
191051
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00009882
RAILROAD MEDICARE
MA
Enumeration date
07/27/2006
Last updated
07/28/2014
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