Provider Demographics
NPI:1467735662
Name:SESIN, NOREEN E
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:E
Last Name:SESIN
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 1:120 STOCKWELL DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1149
Mailing Address - Country:US
Mailing Address - Phone:508-232-4003
Mailing Address - Fax:
Practice Address - Street 1:120 STOCKWELL DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1149
Practice Address - Country:US
Practice Address - Phone:508-232-4003
Practice Address - Fax:508-232-4011
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH17325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist