Individual
MICHAEL J TERLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44184
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33476
FALLON
MA
01
—
4029
HARVARD
MA
01
—
710419
TUFTS
MA
01
—
B18221
BLUE SHIELD
MA
Enumeration date
09/25/2006
Last updated
07/08/2007
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