| Doctor Name: | ANNE MARIE MINGOLELLI |
| NPI Number: | 1063530970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 150387 |
| Business Practice Address: | 55 Fogg Rd Weymouth, MA - 021902432 |
| Business Phone Number: | 7813404293 |
| Business Fax Number: | 7813403782 |
| Mailing Address: | 55 Fogg Rd, WEYMOUTH |
| State: | MA |
| Postal Code: | 021902432 |
| Phone Number: | 7813404293 |
| Fax Number: | 7813403782 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0106X |
| License Number: | 150387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Occupational Health |
| Taxonomy Definition: | |