Active NPIIndividual provider

Eleanor P Moresco, MD

Internal Medicine in Medford, Massachusetts

NPI Number1790775211
Practice location
101 Main St, Suite 214, Medford, MA 02155-4540
Fax
781-391-6224
Last updated
April 30, 2012

Eleanor P Moresco is an Internal Medicine based in Medford, MA. Eleanor P Moresco practices in Medford, MA and has the professional credentials of MD. The NPI Number for Eleanor P Moresco is 1790775211 and holds a License No. 512131 (MA). The current practice location address for Eleanor P Moresco is 101 Main St, Suite 214, Medford, MA 02155-4540 and can be reached out via phone at 781-391-3885 and via fax at 781-391-6224.

Provider Profile Details

NPI Number
1790775211
Provider Name
Eleanor P Moresco
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Main St, Suite 214, Medford, MA 02155-4540
Phone Number
781-391-3885
Fax Number
781-391-6224
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2005
Last Update Date
April 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Main St
Suite 214
Medford, MA 02155-4540
Zip
02155-4540
Phone Number
781-391-3885
Fax Number
781-391-6224
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
101 Main St
Suite 214
Medford, MA 02155-4540
City
Medford
State
MA
Zip
02155-4540
Phone Number
781-391-3885
Fax Number
781-391-6224

License Information

License Number
512131
License State
MA
Taxonomy
Internal Medicine · 207R00000X · 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 Eleanor P Moresco, MD?

The NPI number of Eleanor P Moresco, MD is 1790775211. It was assigned on October 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Eleanor P Moresco, MD?

Eleanor P Moresco, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 512131.

Where does Eleanor P Moresco, MD practice?

The practice location is 101 Main St, Suite 214, Medford, MA 02155-4540. The office can be reached at 781-391-3885 (phone) or 781-391-6224 (fax).

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 1790775211 directly on the NPPES registry website.

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