Michael J.f. Iannessa
Obstetrician & Gynecologist Internist - Addiction Medicine
1233 State Rd
Plymouth
, Massachusetts 02360-5133
Michael J.f. Iannessa
Obstetrician & Gynecologist Internist - Addiction Medicine
1233 State Rd
Plymouth
, Massachusetts 02360-5133
(781) 254-1148
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About
Features
Specialties
- Internist - Addiction Medicine
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Michael J.f. Iannessa
- 40 Chestnut St Apt. #2
- Charlestown, MA
- Zip : 02129-3436
- Phone : (781) 254-1148
Second Address
- Michael J.f. Iannessa
- 1233 State Rd
- Plymouth, MA
- Zip : 02360-5133
- Phone : (508) 224-7701
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Is Michael J.f. Iannessa a sole practitioner?
Is Michael J.f. Iannessa accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 52862 | MA |
| N | 207V00000X | Obstetrician & Gynecologist | 52862 | MA |
National Provider Identifier
| NPI | 1083633580 |
|---|---|
| Provider Name | Michael J.f. Iannessa |
| First Address | Charlestown, MA 02129-3436 |
| Second Address | Plymouth, MA 02360-5133 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 31/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3136248 | (05) | MA |
| A57004 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.