Active NPIIndividual providerSole proprietor

Marie-Therese Metallidis

Pharmacist in Medford, Massachusetts

NPI Number1598360117
Practice location
590 Fellsway, Medford, MA 02155-4925
Fax
—
Last updated
December 1, 2020

Marie-Therese Metallidis is a Pharmacist based in Medford, MA. Marie-Therese Metallidis practices in Medford, MA. The NPI Number for Marie-Therese Metallidis is 1598360117 and holds a License No. 20238 (MA). The current practice location address for Marie-Therese Metallidis is 590 Fellsway, Medford, MA 02155-4925 and can be reached out via phone at 781-391-2668.

Provider Profile Details

NPI Number
1598360117
Provider Name
Marie-Therese Metallidis
Provider Entity Type
Individual
Gender
Female
Address
590 Fellsway, Medford, MA 02155-4925
Phone Number
781-391-2668
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
December 1, 2020
Last Update Date
December 1, 2020
Certification Date
December 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
590 Fellsway
Medford, MA 02155-4925
Zip
02155-4925
Phone Number
781-391-2668
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
51 Saunders St
Allston, MA 02134-1929
City
Allston
State
MA
Zip
02134-1929
Phone Number
617-835-4606

License Information

License Number
20238
License State
MA
Taxonomy
Pharmacist · 183500000X · 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 Marie-Therese Metallidis?

The NPI number of Marie-Therese Metallidis is 1598360117. It was assigned on December 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Marie-Therese Metallidis?

Marie-Therese Metallidis is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number 20238.

Where does Marie-Therese Metallidis practice?

The practice location is 590 Fellsway, Medford, MA 02155-4925. The office can be reached at 781-391-2668 (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 1598360117 directly on the NPPES registry website.

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