Provider Demographics
NPI:1972833176
Name:CARREIRA, CRISTINA PEREIRA (MAOM)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:PEREIRA
Last Name:CARREIRA
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CADY ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-2243
Mailing Address - Country:US
Mailing Address - Phone:413-237-7212
Mailing Address - Fax:
Practice Address - Street 1:20 CADY ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-2243
Practice Address - Country:US
Practice Address - Phone:413-237-7212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist