Provider Demographics
NPI:1548347750
Name:RACALBUTO, CLAUDIA M (NP)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:RACALBUTO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:ONE ROOSEVELT AVENUE SUITE 204
Mailing Address - Street 2:CLAUDIA M RACALBUTO NP
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960
Mailing Address - Country:US
Mailing Address - Phone:978-536-7778
Mailing Address - Fax:978-536-2998
Practice Address - Street 1:ONE ROOSEVELT AVENUE SUITE 204
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960
Practice Address - Country:US
Practice Address - Phone:978-536-7778
Practice Address - Fax:978-536-2998
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA109854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0704351Medicaid
MANP1580Medicare ID - Type Unspecified
S72048Medicare UPIN