Ristaino, Jeffrey R

Ristaino, Jeffrey R is an individual health care provider with primary practice located at 330 Baker Ave , Concord MA 01742-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ristaino, Jeffrey R can be contacted via phone (978) 287-9400.

Contact Information

Primary practice address
330 Baker Ave Concord MA 01742-2129
Phone: (978) 287-9400
Fax: (978) 287-9408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 156722 Massachusetts

Profile Details

NPI number 1629058979
LBN Legal business name Ristaino, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 26th, 2020 - about 5 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 1629058979 NPPES
Massachusetts MEDICAID 3182681
Massachusetts Other 1202088
Massachusetts Other 156722
Massachusetts Other 201805
Massachusetts Other J19117
Massachusetts Other B10329302
Massachusetts Other 0016165
Massachusetts Other 5189645

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