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Contact Information

NANCY DETORA, MD
105 MILLBURY ST
AUBURN, MA01501
 Phone: 508-832-9691
 Fax: 508-832-7670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NANCY DETORA · (Female)

NPI Number 1689773095
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2006
Last updated 12/01/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 48899
  • MA Medicaid 3053997
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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