Bermudez, Maria A

Bermudez, Maria A is an individual health care provider with primary practice located at 42 Park Place , Pawtucket RI 02860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bermudez, Maria A can be contacted via phone (401) 729-0080.

Contact Information

Primary practice address
42 Park Place Pawtucket RI 02860
Fax: (401) 729-0438
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00184 Rhode Island

Profile Details

NPI number 1578588166
LBN Legal business name Bermudez, Maria A
Credentials PHYSICIAN ASST PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 1st, 2009 - 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 1578588166 NPPES
Other 404960 BCHIP
Other 30677 BCHIP

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