Acquadro, Martin Andrew
Acquadro, Martin Andrew is an individual health care provider with primary practice located at 2100 Dorchester Ave 7Th Floor, Dorchester Center MA 02124-5615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Acquadro, Martin Andrew can be contacted via phone (617) 506-2027.Contact Information
Primary practice address
2100 Dorchester Ave 7Th Floor
Dorchester Center MA 02124-5615
Phone: (617) 506-2027
Fax: (617) 474-3811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 54006 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 54006 | Massachusetts |
Profile Details
| NPI number | 1023099934 |
|---|---|
| LBN Legal business name | Acquadro, Martin Andrew |
| Credentials | MD DMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jan 20th, 2010 - 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 | 1023099934 | NPPES |
| Massachusetts | Other | 054006 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3124517 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J08549 | TUFTS HEALTH PLAN |
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