1275517914 NPI number — MR. DENNIS GENE CANALI MA

Table of content: MR. DENNIS GENE CANALI MA (NPI 1275517914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275517914 NPI number — MR. DENNIS GENE CANALI MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CANALI
Provider First Name:
DENNIS
Provider Middle Name:
GENE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275517914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/28/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
34 CURTIS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01702-7409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-395-7577
Provider Business Mailing Address Fax Number:
508-792-4026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
390 MAIN ST
Provider Second Line Business Practice Location Address:
STE 1049 THE SLATTER BUILDING
Provider Business Practice Location Address City Name:
WORCESTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01608-2583
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-395-7577
Provider Business Practice Location Address Fax Number:
508-792-4026
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  1087 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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