De Las Morenas, Antonio

De Las Morenas, Antonio is an individual health care provider with primary practice located at 670 Albany St 3Rd Floor, Boston MA 02118-2518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. De Las Morenas, Antonio can be contacted via phone (617) 414-5314.

Contact Information

Primary practice address
670 Albany St 3Rd Floor Boston MA 02118-2518
Phone: (617) 414-5314
Fax: (617) 414-5315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2018-02510 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 53324 Massachusetts

Profile Details

NPI number 1184697492
LBN Legal business name De Las Morenas, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Oct 2nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184697492 NPPES
New Hampshire MEDICAID 30204459
New Hampshire MEDICAID 3043398

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