Individual
DR. NICOLA MOGAVERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
792 MAIN ST, MELROSE, MA 02176-2710
(781) 665-9066
(781) 662-9758
Mailing address
792 MAIN ST, MELROSE, MA 02176-2710
(781) 665-9066
(781) 662-9758
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
81784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3176886
—
MA
01
—
66877
HPHC
MA
01
—
778258
TUFTS/SECURE HORIZONS
MA
01
—
J18677
BCBS
MA
Enumeration date
11/17/2005
Last updated
07/08/2007
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