Olivia Dimarco, FNP-BC | |
99 Windsor Rd, Medford, MA 02155-5927 | |
(203) 644-3970 | |
Not Available |
Full Name | Olivia Dimarco |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 99 Windsor Rd, Medford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265207690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2358644 (Massachusetts) | Secondary |
363LF0000X | Nurse Practitioner - Family | R2358644 (Massachusetts) | Primary |
Entity Name | Marlborough Hospitalist Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316639321 PECOS PAC ID: 1254793888 Enrollment ID: O20230815001157 |
Mailing Address | Practice Location Address |
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Olivia Dimarco, FNP-BC 99 Windsor Rd, Medford, MA 02155-5927 Ph: () - | Olivia Dimarco, FNP-BC 99 Windsor Rd, Medford, MA 02155-5927 Ph: (203) 644-3970 |
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