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Dr. NICHOLAS M DELLORUSSO -- DMD

Individual Provider (NPI-1) Active

Dentist, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1295725596
Provider Type
Individual Provider (NPI-1)
Credentials
DMD
Status
Active

Contact & Location

Address
55 FRUIT ST CPZ 401, BOSTON, MA, 021142621
Phone
(617) 726-1076
Fax
(617) 724-6681

Specialties & Taxonomies

Dentist, Oral and Maxillofacial Surgery Primary License: MA #11263

All Addresses

MAILING

PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION

CHARLESTOWN, MA, 021299142

(617) 724-0287

LOCATION

55 FRUIT ST CPZ 401

BOSTON, MA, 021142621

(617) 726-1076