Individual
ELEANOR P MORESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 MAIN ST, SUITE 214, MEDFORD, MA 02155-4540
(781) 391-3885
(781) 391-6224
Mailing address
101 MAIN ST, SUITE 214, MEDFORD, MA 02155-4540
(781) 391-3885
(781) 391-6224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
512131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211382
—
MA
Enumeration date
10/26/2005
Last updated
04/30/2012
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