Provider Demographics
NPI:1659574333
Name:DENNIS J. ARINELLA, M.D.,P.C.
Entity Type:Organization
Organization Name:DENNIS J. ARINELLA, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRESOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-853-2020
Mailing Address - Street 1:591 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1901
Mailing Address - Country:US
Mailing Address - Phone:508-853-2020
Mailing Address - Fax:508-459-5082
Practice Address - Street 1:591 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-1901
Practice Address - Country:US
Practice Address - Phone:508-853-2020
Practice Address - Fax:508-459-5082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43769207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA15222OtherHARVARD PILGR
MAAS0053165001OtherCIGNA CT GENERAL
MA0110175Medicaid
MAM19009OtherBLUE CROSS BLUE SHIELD
MA41159OtherCIGNA
MA04131647OtherAETNA
MA714526OtherTUFTS HEALTH
MA3878OtherFALLON COMMUNITY HEALTH
MA15222OtherHARVARD PILGR
MAM19009OtherBLUE CROSS BLUE SHIELD
MA41159OtherCIGNA