Pantano, Paul Joseph

Pantano, Paul Joseph is an sole proprietor health care provider with primary practice located at 32 South St Suite 300A, Waltham MA 02453. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Pantano, Paul Joseph can be contacted via phone (781) 893-1443.

Contact Information

Primary practice address
32 South St Suite 300A Waltham MA 02453
Fax: (781) 231-9320
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1547 Massachusetts

Profile Details

NPI number 1023112604
LBN Legal business name Pantano, Paul Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Nov 1st, 2010 - about 16 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 1023112604 NPPES
Massachusetts MEDICAID 0340855

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