Individual provider · Type 1 NPI
Jacob Louis Perriello
Primary Care Clinic/Center · Weymouth, MA
NPI number
1982102265
Active
Practice location
12 Drew Ave
Weymouth, MA 02189-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1982102265
Jacob Louis Perriello's National Provider Identifier is 1982102265, issued on Feb 1, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Weymouth, MA. The record was last updated on Feb 1, 2018.