Provider Demographics
NPI:1033850540
Name:CERRETO, KEN
Entity Type:Individual
Prefix:DR
First Name:KEN
Middle Name:
Last Name:CERRETO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 E BARE HILL RD
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:MA
Mailing Address - Zip Code:01451-1857
Mailing Address - Country:US
Mailing Address - Phone:508-314-1156
Mailing Address - Fax:
Practice Address - Street 1:181 E BARE HILL RD
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:MA
Practice Address - Zip Code:01451-1857
Practice Address - Country:US
Practice Address - Phone:508-314-1156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist