Individual
MRS. GIULIA MANCINI-MEZZACAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-6578
(508) 856-5990
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-6578
(508) 856-5990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
156636
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
156636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15820119
CIGNA
MA
05
—
3193942
—
MA
Enumeration date
01/03/2007
Last updated
10/22/2014
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