Individual
MR. GLEIDISTONEY JOSE DEOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
326 NICHOLS ROAD, FITCHBURG, MA 01420
(978) 878-8440
(978) 878-8535
Mailing address
326 NICHOLS ROAD, FITCHBURG, MA 01420
(978) 878-8516
(978) 878-8418
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
215489
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN215489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
GROUP MEDICAID NUMBER
MA
Enumeration date
08/08/2008
Last updated
09/24/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us