Dentremont, Richard A
Dentremont, Richard A is an individual health care provider with primary practice located at 7 Alfred St Baldwin Park Ii, Woburn MA 01801-1976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dentremont, Richard A can be contacted via phone (781) 933-6236.Contact Information
Primary practice address
7 Alfred St Baldwin Park Ii
Woburn MA 01801-1976
Phone: (781) 933-6236
Fax: (781) 938-8050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39357 | Massachusetts |
Profile Details
| NPI number | 1356304356 |
|---|---|
| LBN Legal business name | Dentremont, Richard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jan 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356304356 | NPPES |
| Massachusetts | Other | 0091693001 | CIGNA |
| Massachusetts | Other | 20187 | CIGNA |
| Massachusetts | Other | B54042 | CIGNA |
| Massachusetts | Other | 039357 | CIGNA |
| Massachusetts | MEDICAID | 2049813 | CIGNA |
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