Individual ProviderAngela Marie TamborellaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address66 Canal St, Boston, MA 02114-2002(617) 371-3010PECOS EnrollmentBased on the most recent information from CMS, provider Angela Marie Tamborella does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437388923Provider TypeIndividualFull NameTamborella, Angela MarieGenderFemaleSole ProprietorNoEnumeration Date7/6/2009Last Updated7/6/2009Contact InformationPractice LocationPractice Address66 Canal St, Boston, MA 02114-2002Phone(617) 371-3010FaxUnlisted FaxMailing LocationMailing Address66 Canal St, Boston, MA 02114-2002Phone(617) 371-3010FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP-7753-SLMassachusetts