Provider Demographics
NPI:1164492617
Name:TASSONI, JOSEPH P (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:TASSONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3158
Mailing Address - Country:US
Mailing Address - Phone:413-586-8910
Mailing Address - Fax:413-584-7270
Practice Address - Street 1:10 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-3158
Practice Address - Country:US
Practice Address - Phone:413-586-8910
Practice Address - Fax:413-584-7270
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59198207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA059198OtherCONNECTICARE
MA20-1203197OtherNORTHEAST HEALTH DIRECT
MA20-1203197OtherNORTHEAST HEALTHCARE ALLI
MA20-1203197OtherUNICARE/GIC
MA0408961001OtherCIGNA
MA20-1203197OtherNORTH AMERICAN PREFERRED
MA20-1203197OtherPLAN VISTA
MA3206882Medicaid
MA32978OtherHEALTH NEW ENGLAND
MA20-1203197OtherGREAT -WEST
MA20-1203197OtherCONSOLIDATED
MA20-1203197OtherPRIVATE HEALTHCARE SYSTEM
MA4510358OtherAETNA
MA059198OtherTUFTS
MA26651OtherBMC
MA6000723OtherHARVARD PILGRIM
MAJ09488OtherBCBS MA
MA4510358OtherAETNA
E38731Medicare UPIN