Active NPIIndividual providerSole proprietor

Jacqueline Pucillo

Early Intervention Provider Agency in North Easton, Massachusetts

NPI Number1063706513
Practice location
30 Reynolds St, North Easton, MA 02356-1518
Fax
—
Last updated
June 1, 2011

Jacqueline Pucillo is an Early Intervention Provider Agency based in North Easton, MA. Jacqueline Pucillo practices in North Easton, MA. The NPI Number for Jacqueline Pucillo is 1063706513 and holds a License No. S87602754 (MA). The current practice location address for Jacqueline Pucillo is 30 Reynolds St, North Easton, MA 02356-1518 and can be reached out via phone at 508-272-0457.

Provider Profile Details

NPI Number
1063706513
Provider Name
Jacqueline Pucillo
Provider Entity Type
Individual
Gender
Female
Address
30 Reynolds St, North Easton, MA 02356-1518
Phone Number
508-272-0457
Primary Taxonomy
Early Intervention Provider Agency · 252Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2011
Last Update Date
June 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Reynolds St
North Easton, MA 02356-1518
Zip
02356-1518
Phone Number
508-272-0457
North Easton, MA 02356Get directions →

Provider Business Mailing Address Details

Address
30 Reynolds St
North Easton, MA 02356-1518
City
North Easton
State
MA
Zip
02356-1518

License Information

License Number
S87602754
License State
MA
Taxonomy
Early Intervention Provider Agency · 252Y00000X · 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 Jacqueline Pucillo?

The NPI number of Jacqueline Pucillo is 1063706513. It was assigned on June 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Pucillo?

Jacqueline Pucillo is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in MA under license number S87602754.

Where does Jacqueline Pucillo practice?

The practice location is 30 Reynolds St, North Easton, MA 02356-1518. The office can be reached at 508-272-0457 (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 1063706513 directly on the NPPES registry website.

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