Gerard Rocco Martusciello, MD
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1003663469
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1003663469
- Entity type
- Individual (NPI-1)
- Name
- Gerard Rocco Martusciello
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2024
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
330 Brookline AveBoston, MA 02215-5491
Phone 617-667-7000
Mailing address
330 Brookline AveBoston, MA 02215-5491
Other practice locations
600 S Paulina St Ste 403
Chicago, IL 60612-3806
Chicago, IL 60612-3806
Phone 312-942-7100
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