Bodine, Andrea Marangoni

Bodine, Andrea Marangoni is an individual health care provider with primary practice located at 740 Williams St , Pittsfield MA 01201-7463. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bodine, Andrea Marangoni can be contacted via phone (413) 442-2226.

Contact Information

Primary practice address
740 Williams St Pittsfield MA 01201-7463
Phone: (413) 442-2226
Fax: (413) 442-1314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA75787 Massachusetts

Profile Details

NPI number 1295753911
LBN Legal business name Bodine, Andrea Marangoni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1295753911 NPPES
Massachusetts Other 075787 TUFT HEALTH PLAN
Massachusetts Other 000000024296 TUFT HEALTH PLAN
Massachusetts MEDICAID 9706437 TUFT HEALTH PLAN
Massachusetts Other M17692 TUFT HEALTH PLAN

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