Individual ProviderLaura A PontaniCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Suite Six, Medford, MA 02155-4632(781) 396-1199PECOS EnrollmentBased on the most recent information from CMS, provider Laura A Pontani 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 yesterday at 10:04 AM.Profile DetailsProvider ID1669670741Provider TypeIndividualFull NamePontani, Laura ACredentialMAGenderFemaleSole ProprietorNoEnumeration Date7/10/2007Last Updated7/10/2007Contact InformationPractice LocationPractice Address151 Mystic Ave, Suite Six, Medford, MA 02155-4632Phone(781) 396-1199Fax(781) 396-1439Mailing LocationMailing Address151 Mystic Ave, Suite Six, Medford, MA 02155-4632Phone(781) 396-1199Fax(781) 396-1439Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer