1588964563 NPI number — MRS. VERONICA CRISTINA MAY LMT

Table of content: MRS. VERONICA CRISTINA MAY LMT (NPI 1588964563)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588964563 NPI number — MRS. VERONICA CRISTINA MAY LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAY
Provider First Name:
VERONICA
Provider Middle Name:
CRISTINA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOITOSO
Provider Other First Name:
VERONICA
Provider Other Middle Name:
CRISTINA
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588964563
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
219 ASHBY STATE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FITCHBURG
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01420-2083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-345-1224
Provider Business Mailing Address Fax Number:
978-345-1418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17B PIERCE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FITCHBURG
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01420-7111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-345-1224
Provider Business Practice Location Address Fax Number:
978-345-1418
Provider Enumeration Date:
10/25/2010

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: 225700000X , with the licence number:  2488 , 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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