Jacob Louis Perriello
Clinic/Center, Primary Care in Weymouth, MA. Individual provider (NPI-1).
NPI number1982102265
StatusActive
Last updated in NPPESFeb 1, 2018
Details
- NPI
- 1982102265
- Entity type
- Individual (NPI-1)
- Name
- Jacob Louis Perriello
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 1, 2018
- Last updated
- Feb 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
12 Drew AveWeymouth, MA 02189-2226
Phone 781-901-9523
Mailing address
12 Drew AveWeymouth, MA 02189-2226
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