D'Ambrosio, Paul David

D'Ambrosio, Paul David is an individual health care provider with primary practice located at 2284 Main St , Concord MA 01742-3829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. D'Ambrosio, Paul David can be contacted via phone (978) 369-5575.

Contact Information

Primary practice address
2284 Main St Concord MA 01742-3829
Phone: (978) 369-5575
Fax: (978) 371-9189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 73162 Massachusetts

Profile Details

NPI number 1033194048
LBN Legal business name D'Ambrosio, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 21st, 2014 - about 10 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 1033194048 NPPES
Massachusetts MEDICAID 3083004
Massachusetts Other J11066
Massachusetts Other 071362
Massachusetts Other 60305

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