Provider Demographics
NPI:1659825578
Name:JOSEPHINE A ALBANO,M.D. P.C
Entity Type:Organization
Organization Name:JOSEPHINE A ALBANO,M.D. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-657-7911
Mailing Address - Street 1:25 LOWELL ST
Mailing Address - Street 2:P.O. BOX 858
Mailing Address - City:WILMINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01887-3238
Mailing Address - Country:US
Mailing Address - Phone:978-657-7911
Mailing Address - Fax:978-657-7914
Practice Address - Street 1:25 LOWELL ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3238
Practice Address - Country:US
Practice Address - Phone:978-657-7911
Practice Address - Fax:978-657-7914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty