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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADDIS WOLDEGUIORGUIS

Active Sole Proprietor

ADDIS WOLDEGUIORGUIS is a Peer Specialist healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1740763739 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · JAMAICA PLAIN, MA

Registration Details

NPI Number
1740763739
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2018 (7.9206023542402 yrs)
Last Updated
Sep 14, 2018
Sole Proprietor
Yes

Practice Information

Address
157 GREEN ST
JAMAICA PLAIN, MA, 021302667
Browse MA providers · Browse ZIP 02130
Phone
8576156289
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in JAMAICA PLAIN, MA

Name Credential NPI
DAVID COVUCCI 1770067977
BRITTANY DRIES 1255800280
PRENTICE CROWELL 1730644162
SHAUNA MARY BOOTHBY 1073111639
MISS LAURIE FORGIONE 1679245641
MR. GIFTSON SAMUEL JOSEPH 1558130971
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.