Marcello, Peter W
Marcello, Peter W is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Marcello, Peter W can be contacted via phone (781) 744-3760.Contact Information
Primary practice address
Lahey Clinic 41 Mall Rd.
Burlington MA 01805-0001
Phone: (781) 744-3760
Fax: (781) 744-2945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 74572 | Massachusetts |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 74572 | Massachusetts |
Profile Details
| NPI number | 1477603660 |
|---|---|
| LBN Legal business name | Marcello, Peter W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Mar 8th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477603660 | NPPES |
| Massachusetts | MEDICAID | 110050867A |
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