Hurtado, David

Hurtado, David is an sole proprietor health care provider with primary practice located at 2181 Washington St Suite 305, Roxbury MA 02119-2082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hurtado, David can be contacted via phone (617) 541-0772.

Contact Information

Primary practice address
2181 Washington St Suite 305 Roxbury MA 02119-2082
Phone: (617) 541-0772
Fax: (617) 427-6220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 215879 Massachusetts

Profile Details

NPI number 1376614412
LBN Legal business name Hurtado, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376614412 NPPES
Massachusetts Other 3110263 AETNA
Massachusetts Other 43531603 AETNA
Massachusetts Other J25762 AETNA
Massachusetts Other 2005531 AETNA
Massachusetts Other 2300293 AETNA

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