Active NPIIndividual providerSole proprietor

Noah Peduzzi, EMT, LAT, ATC

Specialist/Technologist, Athletic Trainer in Stow, Massachusetts

NPI Number1003211806
Practice location
46 Arbor Glen Dr, Stow, MA 01775-1259
Fax
—
Last updated
October 23, 2014

Noah Peduzzi is a Specialist/Technologist, Athletic Trainer based in Stow, MA. Noah Peduzzi practices in Stow, MA and has the professional credentials of EMT, LAT, ATC. The NPI Number for Noah Peduzzi is 1003211806 and holds a License No. 2601 (MA). The current practice location address for Noah Peduzzi is 46 Arbor Glen Dr, Stow, MA 01775-1259 and can be reached out via phone at 978-875-3003.

Provider Profile Details

NPI Number
1003211806
Provider Name
Noah Peduzzi
Credential
EMT, LAT, ATC
Provider Entity Type
Individual
Gender
Male
Address
46 Arbor Glen Dr, Stow, MA 01775-1259
Phone Number
978-875-3003
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2014
Last Update Date
October 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Arbor Glen Dr
Stow, MA 01775-1259
City
Stow
Zip
01775-1259
Phone Number
978-875-3003
Stow, MA 01775Get directions →

Provider Business Mailing Address Details

Address
46 Arbor Glen Dr
Stow, MA 01775-1259
City
Stow
State
MA
Zip
01775-1259
Phone Number
978-875-3003

License Information

License Number
2601
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Noah Peduzzi, EMT, LAT, ATC?

The NPI number of Noah Peduzzi, EMT, LAT, ATC is 1003211806. It was assigned on October 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Noah Peduzzi, EMT, LAT, ATC?

Noah Peduzzi, EMT, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2601.

Where does Noah Peduzzi, EMT, LAT, ATC practice?

The practice location is 46 Arbor Glen Dr, Stow, MA 01775-1259. The office can be reached at 978-875-3003 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003211806 directly on the NPPES registry website.

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