Lisa Antonelli Md

LBN: Lisa Antonelli Md
Lisa Antonelli Md is an health care organization with primary practice located at 500 Congress St Ste 2F, Quincy MA 02169-0908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Lisa Antonelli Md can be contacted via phone (617) 472-6953, or through Antonelli, Lisa via phone (617) 472-6953.

Contact Information

Primary practice address
500 Congress St Ste 2F Quincy MA 02169-0908
Phone: (617) 472-6953
Fax: (617) 773-2193
Website:
Map and Directions
Authorized official contact:
Name: Antonelli, Lisa Doctor of Medicine (MD)
Phone: (617) 472-6953

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1235129222
LBN Legal business name Lisa Antonelli Md
DBA Doing business as
Authorized official Antonelli, Lisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235129222 NPPES
Massachusetts Other J09499 BCBS
Massachusetts MEDICAID 3060284 BCBS
Massachusetts Other 755370 BCBS

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