Provider Demographics
NPI:1700877347
Name:CAGLIERO, ENRICO (MD)
Entity Type:Individual
Prefix:DR
First Name:ENRICO
Middle Name:
Last Name:CAGLIERO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8722
Mailing Address - Fax:617-724-8534
Practice Address - Street 1:50 STANIFORD ST
Practice Address - Street 2:3RD FLOOR S50 3 DIABETES UNIT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2517
Practice Address - Country:US
Practice Address - Phone:617-726-8722
Practice Address - Fax:617-724-8534
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59228207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA059228OtherTUFTS HEALTH PLAN
MAJ31392OtherBCBS MA
MA3140580Medicaid
G05003Medicare UPIN
MAA20137Medicare ID - Type Unspecified