IndividualActive
Rafael Geronimo
NPI 1356227474 · Driver · Tewksbury, MA
Provider details
- NPI number
- 1356227474
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4106 Archstone Ave
Tewksbury, MA 01876-1867
Phone: (978) 885-0506
Approximate (ZIP-level) locationGet directions
Mailing address
4106 Archstone Ave
Tewksbury, MA 01876-1867
Registry dates
- Enumerated
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.