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Organization

MICHAELCRINCOLI, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CRINCOLI MD (PREISDENT)
(508) 650-9999
Entity
Organization

Contact information

Practice address
67 UNION ST, SUITE 106, NATICK, MA 01760-7700
(508) 650-9999
(508) 653-1054
Mailing address
67 UNION ST, SUITE 106, NATICK, MA 01760-7700
(508) 650-9999
(508) 653-1054

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3171728
MA
Enumeration date
12/13/2010
Last updated
02/03/2011
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