Co, John Patrick T

Co, John Patrick T is an individual health care provider with primary practice located at 300 Ocean Avenue Rch Revere Healthcare Center, Revere MA 02151-3675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Co, John Patrick T can be contacted via phone (781) 485-6024.

Contact Information

Primary practice address
300 Ocean Avenue Rch Revere Healthcare Center Revere MA 02151-3675
Phone: (781) 485-6024
Fax: (781) 485-6391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 160256 Massachusetts

Profile Details

NPI number 1083605984
LBN Legal business name Co, John Patrick T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Dec 20th, 2012 - about 13 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 1083605984 NPPES
Massachusetts MEDICAID 3201325
Massachusetts Other J21625
Massachusetts Other 160256

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