Mario Addabbo, M.D.
Individual provider Active NPI Anesthesiology Physician · Westwood, MA
NPI 1922019215 · NPPES record last updated Aug 2, 2010
Key facts
- NPI
- 1922019215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 209873 (MA)
- Practice address
- 690 Canton Street
Suite 325
Westwood, MA 02090-2324 - Phone
- (781) 407-7713
- Fax
- (781) 407-0998
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cataract and Laser Center Associates PC | Past |
Accepting new patients | |
| Hallmark Health System Inc | Past | Accepting new patients | |
| Anesthetics of Massachusetts, PC | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 209873 | MA | |
| Anesthesiology Physician | 207L00000X | 209873 | MA | Yes |
Addresses
Primary practice location
690 Canton Street
Suite 325
Westwood, MA 02090-2324
Mailing address
690 Canton Street
Suite 325
Westwood, MA 02090-2324
Phone (781) 407-7713
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148226 | Medicaid | MA |
Other providers in Westwood, MA
- Accelerated Performance & Rehabilitation, Inc
- Accentcare of Massachusetts, Inc.
- Amaka Achibiri
- Act Neurodevelopmental Services, PLLC
- Adaama Dental PLLC
- Dana Albert-Proos
- Carolyn Aldredge
- Bruce Albert Alessio
- Edward Charles Allie
- Meredith Amaya-Hodges
All providers in Westwood, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.