Individual
MICHAEL J TERLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
138 HAVERHILL ST, SUITE 200, ANDOVER, MA 01810-1509
(978) 475-4322
(978) 474-4537
Mailing address
138 HAVERHILL ST, SUITE 200, ANDOVER, MA 01810-1509
(978) 475-4322
(978) 474-4537
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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