Provider Demographics
NPI:1063432482
Name:PATRIZI, SILVIA (MD)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:PATRIZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 ASBURY ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-6648
Mailing Address - Country:US
Mailing Address - Phone:617-652-0345
Mailing Address - Fax:
Practice Address - Street 1:NEW ENGLAND MEDICAL CENTER
Practice Address - Street 2:750 WASHINGTON ST, NEWBORN MED
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-652-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1540312080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine