Provider Demographics
NPI:1346231776
Name:DOOLEY, MARIA F (ANP)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:F
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:F
Other - Last Name:FOTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1795
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-871-2940
Practice Address - Street 1:75 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1795
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-871-2940
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA97834363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0700681Medicaid
MA042297845OtherDOC FIRST
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA042297845OtherGREAT WEST HEALTH CARE
MA042297845OtherTRICARE
MANP1070OtherBCBS
MA52470OtherFALLON
MANP1070Medicare ID - Type Unspecified
MA0700681Medicaid