Anthony Joseph Bussolari, | |
463 Swansea Mall Dr, Swansea, MA 02777-4119 | |
(508) 324-4202 | |
Not Available |
Full Name | Anthony Joseph Bussolari |
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Gender | Male |
Speciality | Counselor |
Location | 463 Swansea Mall Dr, Swansea, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316476450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Riverside Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780791467 PECOS PAC ID: 6709799885 Enrollment ID: O20031106000306 |
Mailing Address | Practice Location Address |
---|---|
Anthony Joseph Bussolari, 2008 Mineral Spring Ave Apt 5, North Providence, RI 02911-1800 Ph: (413) 663-4193 | Anthony Joseph Bussolari, 463 Swansea Mall Dr, Swansea, MA 02777-4119 Ph: (508) 324-4202 |
Alexander Hoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-324-1060 | |
Brianna Caito, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Stevens Rd, Swansea, MA 02777 Phone: 508-677-0304 | |
Cheryl Ann Chernecky, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-324-1060 | |
Ms. Caroline Dale, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 617-694-9796 | |
Kelefa Diakite, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-324-1060 Fax: 508-580-5365 | |
Princess Katamzi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-324-1060 | |
Michele Camara, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 463 Swansea Mall Dr, Swansea, MA 02777 Phone: 508-324-4202 Fax: 508-672-0927 |