Provider Demographics
NPI:1548211303
Name:VERIDIANO, VALERIE B (MD)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:B
Last Name:VERIDIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:508-334-8815
Mailing Address - Fax:508-334-8105
Practice Address - Street 1:65 CANAL ST
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-3266
Practice Address - Country:US
Practice Address - Phone:508-865-9960
Practice Address - Fax:508-865-3399
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2020-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA73595207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherHEALTHCARE VALUE MANAGEME
784206OtherMVP HEALTH CARE
J12379OtherBLUE SHIELD INDEMNITY
J12379OtherBLUE CARE ELECT
042472266OtherTHREE RIVERS
J12379OtherBLUE SHIELD HMO BLUE
042472266OtherONE HEALTH PLAN
1061481OtherFIRST HEALTH
27036OtherHEALTH START
5587662OtherAETNA US HEALTHCARE
8536321OtherCIGNA HEALTH PLAN
8900485OtherEVERCARE
9900104OtherFALLON COMMUNITY HEALTH P
042472266OtherPRIVATE HEALTHCARE SYSTEM
10190877OtherRAILROAD MEDICARE
27036OtherCHILDRENS MEDICAL SECURIT
MA3100961Medicaid
AA6093OtherHARVARD PILGRIM HEALTHCAR
5587662OtherAETNA US HEALTHCARE
F24955Medicare UPIN