CHRISTINE DITULLIO (NPI# 1932584950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932584950 |
| Entity Type | Individual |
| Full Name | CHRISTINE DITULLIO |
| Other Name | CHRISTINE SMALDONE |
| Credential | NP |
| Practice Address |
24 Newton St Southborough MA 01772-1215 |
| Mailing Address |
630 Plantation St Wot 12th Fl Worcester MA 01605-2038 |
| Practice Telephone | 5083604100 |
| Practice Fax Number | 5084538152 |
| Mailing Telephone | 5083685532 |
| Mailing Fax Number | 5084538152 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2281850 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 NEWTON ST |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094788 | Mark Finno, Md PC | Physical Medicine & Rehabilitation | 24 Newton St, Southborough, MA 01772-1215 | 2005-09-26 |
| 1649881699 | Jeremy Kw Spiewak | Pharmacist | 24 Newton St, Southborough, MA 01772-1215 | 2020-08-13 |
| 1437794716 | Reliant Medical Group, Inc | Optometrist | 24 Newton St, Southborough, MA 01772-1215 | 2019-11-11 |
| 1427516004 | Fnu Jomymerlythomas | Physical Therapist | 24 Newton St, Southborough, MA 01772-1215 | 2019-03-04 |
| 1629558960 | Amanda N Griffin | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2018-08-16 |
| 1700322674 | Rosalind Gendreau | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2017-01-16 |
| 1891175113 | Elizabeth Ann Minevich | Internal Medicine | 24 Newton St, Southborough, MA 01772-1215 | 2015-06-02 |
| 1164834750 | Southboro Medical Group, Inc | Specialist | 24 Newton St, Southborough, MA 01772-1215 | 2014-05-30 |
| 1588096754 | Shannon Leah Devlin | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2013-07-30 |
| 1407296106 | Sarah Loy Gifford | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962705236 | Carol Diane Mitchell-boudreau | Nurse Practitioner | 33 Turnpike Road, Southborough, MA 01772-2108 | 2010-12-08 |
| 1770195745 | Ye Eun Song | Nurse Practitioner | 32 Newton St, Southborough, MA 01772-1215 | 2020-08-20 |
| 1629558960 | Amanda N Griffin | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.