Marcella Speranza Consiglio, RTR, VI
Radiologic Technologist, Vascular-Interventional Technology in Boston, MA. Individual provider (NPI-1).
NPI number1417539339
StatusActive
Last updated in NPPESApr 21, 2021
Details
- NPI
- 1417539339
- Entity type
- Individual (NPI-1)
- Name
- Marcella Speranza Consiglio
- Credential
- RTR, VI
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2021
- Certification date
- Apr 21, 2021
- Last updated
- Apr 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology | 536554 | MA | Yes |
Practice location
1 Boston Medical Ctr Pl Ste 1Boston, MA 02118-2999
Phone 617-638-8000
Mailing address
94 Waumbeck StDorchester, MA 02121-1011
Phone 802-734-8568
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