Degiacomo, Teresa
Degiacomo, Teresa is an individual health care provider with primary practice located at 90 Libbey Pkwy Suite 200, Weymouth MA 02189-3129. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Degiacomo, Teresa can be contacted via phone (781) 335-9700.Contact Information
Primary practice address
90 Libbey Pkwy Suite 200
Weymouth MA 02189-3129
Phone: (781) 335-9700
Fax: (781) 335-9709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 60424 | Massachusetts |
Profile Details
| NPI number | 1245214311 |
|---|---|
| LBN Legal business name | Degiacomo, Teresa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jun 19th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245214311 | NPPES |
| Other | 070016619 | RAILROAD MEDICARE | |
| Other | 4292 | RAILROAD MEDICARE | |
| MEDICAID | 3097994 | RAILROAD MEDICARE | |
| Other | 724847 | RAILROAD MEDICARE | |
| Other | J12059 | RAILROAD MEDICARE |
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