Provider Demographics
NPI:1104980879
Name:VIOLA, ALLIEGRO & ERLER MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:VIOLA, ALLIEGRO & ERLER MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALLIEGRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-566-3900
Mailing Address - Street 1:77 POND AVE
Mailing Address - Street 2:SUITE 104C
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7141
Mailing Address - Country:US
Mailing Address - Phone:617-566-3900
Mailing Address - Fax:617-232-3762
Practice Address - Street 1:77 POND AVE
Practice Address - Street 2:SUITE 104C
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7141
Practice Address - Country:US
Practice Address - Phone:617-566-3900
Practice Address - Fax:617-232-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9766456Medicaid
MAM09821OtherBCBS MA
MAM09821OtherBCBS MA