Provider Demographics
NPI:1003088121
Name:PLANTAMURA, MARY FRANCESCA
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:FRANCESCA
Last Name:PLANTAMURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BEDFORD ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3771
Mailing Address - Country:US
Mailing Address - Phone:781-272-2550
Mailing Address - Fax:781-229-0546
Practice Address - Street 1:11 BEDFORD ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-3771
Practice Address - Country:US
Practice Address - Phone:781-272-2550
Practice Address - Fax:781-229-0546
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA464231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist