Eleanor P Moresco, MD
Internal Medicine in Medford, MA. Individual provider (NPI-1).
NPI number1790775211
StatusActive
Last updated in NPPESApr 30, 2012
Details
- NPI
- 1790775211
- Entity type
- Individual (NPI-1)
- Name
- Eleanor P Moresco
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Apr 30, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 512131 | MA | Yes |
Practice location
101 Main StSuite 214
Medford, MA 02155-4540
Phone 781-391-3885 · Fax 781-391-6224
Mailing address
101 Main StSuite 214
Medford, MA 02155-4540
Phone 781-391-3885 · Fax 781-391-6224
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