Provider Demographics
NPI:1376778761
Name:VOLPICELLI, ELGIDA RADONCIPI (MD)
Entity Type:Individual
Prefix:
First Name:ELGIDA
Middle Name:RADONCIPI
Last Name:VOLPICELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELGIDA
Other - Middle Name:
Other - Last Name:RADONCIPI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1440 BEACON ST
Mailing Address - Street 2:APT. 205
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2092
Mailing Address - Country:US
Mailing Address - Phone:917-543-9153
Mailing Address - Fax:
Practice Address - Street 1:111 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6002
Practice Address - Country:US
Practice Address - Phone:617-582-1193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT52099207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program