Geena Maria Ciuffredo

Individual provider Active NPI Technician/Technologist · Clinton, MA

NPI 1417650441 · NPPES record last updated Mar 27, 2023

Key facts

NPI
1417650441
Entity type
Individual (NPI type 1)
Primary specialty
Technician/Technologist 156F00000X
License
PT24655 (MA)
Practice address
1031 Main St
Clinton, MA 01510-1134
Phone
(978) 368-8540
Fax
(978) 368-7936
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT24655MAMDTechnician/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxi Drug Inc Past
since Apr 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X PT24655 MA Yes

Addresses

Primary practice location

1031 Main St
Clinton, MA 01510-1134

Mailing address

1031 Main St
Clinton, MA 01510-1134
Phone (978) 368-8540

Other providers in Clinton, MA

All providers in Clinton, MA · Technician/Technologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.