Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 60481 | MA |
N | 207R00000X | Internist | 60481 | MA |
N | 111NI0900X | Internist | 60481 | MA |
NPI | 1548256308 |
---|---|
Provider Name | Dr. Michael Rockland Verrilli |
First Address | Northampton, MA 01060-3031 |
Second Address | Northampton, MA 01060-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 14/11/2016 |