Adam Izzicupo

NPI #1528498664 in Malden, Massachusetts

Provider Information

NPI Number: 1528498664
Entity Type: Individual
Name: Adam Izzicupo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Nov 26, 2013
Last Updated: Nov 26, 2013

Practice Location

Address: 405 PEARL ST
Address 2: SUITE 2
City: Malden
State: Massachusetts
ZIP Code: 02148-6644
Phone: (781) 321-8785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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