Organization
MASSACHUSETTS CARDIOLOGY ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CARLUCCI MD (PRESIDENT)
(508) 624-9687
Entity
Organization
Contact information
Practice address
159 UNION ST, STE 102, MARLBOROUGH, MA 01752-9689
(508) 624-9687
(508) 624-9689
Mailing address
159 UNION ST, STE 102, MARLBOROUGH, MA 01752-1274
(508) 624-9687
(508) 624-9689
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
73472
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073472
TUFTS
—
05
—
3069958
—
MA
01
—
3563
HPHC
—
01
—
59596
FALLON
—
01
—
691560
TUFTS
—
01
—
J10493
BCBS
—
Enumeration date
05/01/2006
Last updated
08/22/2020
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