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1407801004
MARIA IDA SANNELLA
BROCKTON, MA
NPI
1407801004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MA 225318)
Enumeration Date
2006-05-23
Last Update Date
2024-01-12
Business Address
Dr. MARIA IDA SANNELLA MD
680 CENTRE ST
BROCKTON, MA 02302
Phone number: 508-583-2900
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Mailing Address
Dr. MARIA IDA SANNELLA MD
680 CENTRE ST
BROCKTON, MA 02302
Phone number: 508-583-2900
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