Individual
CARLO CECCHETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 TREMONT ST, SUITE 107, MELROSE, MA 02176-2721
(781) 665-2058
Mailing address
5 THAXTON RD, BEVERLY, MA 01915-1550
(781) 724-3452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40935
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051591
—
MA
Enumeration date
08/04/2006
Last updated
07/08/2007
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