Iannessa, Michael J.F.

Iannessa, Michael J.F. is an sole proprietor health care provider with primary practice located at 1233 State Rd , Plymouth MA 02360-5133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Iannessa, Michael J.F. can be contacted via phone (508) 224-7701.

Contact Information

Primary practice address
1233 State Rd Plymouth MA 02360-5133
Phone: (508) 224-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 52862 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 52862 Massachusetts

Profile Details

NPI number 1083633580
LBN Legal business name Iannessa, Michael J.F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated May 31st, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083633580 NPPES
Massachusetts MEDICAID 3136248

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