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Individual

ALBERT L INTERRANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
825 WASHINGTON ST, SUITE 215, NORWOOD, MA 02062-3441
(781) 762-5595
(781) 762-9966
Mailing address
PO BOX 688, NORWOOD, MA 02062-0688
(781) 762-8010
(781) 762-7753

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35854
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035854
TUFTS HEALTH PLAN
MA
05
2019264
MA
01
24004
HARVARD PILGRIM
MA
01
C05073
BLUE SHIELD
MA
Enumeration date
07/26/2006
Last updated
12/03/2015
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