Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Ellen Distasio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659563179

Mrs. Mary Ellen Distasio is a Student in an Organized Health Care Education/Training Program in Quincy, Massachusetts. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

500 Victory Rd
Quincy, MA 02171-3139
Phone: (617) 847-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659563179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 1, 2016

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