Organization
EUGENE J. MARIANI, JR., D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE J MARIANI JR. DDS (PERIODONTIST)
(508) 754-1122
Entity
Organization
Contact information
Practice address
48 ELM ST, WORCESTER, MA 01609-2541
(508) 754-1122
(508) 754-9378
Mailing address
48 ELM ST, WORCESTER, MA 01609-2541
(508) 754-1122
(508) 754-9378
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13361
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184649444
TYPE 1 NPI
MA
Enumeration date
12/18/2007
Last updated
12/18/2007
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