D'Eramo, Edward M

D'Eramo, Edward M is an sole proprietor health care provider with primary practice located at 69 Malden Street , Revere MA 02151. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. D'Eramo, Edward M can be contacted via phone (781) 284-3200.

Contact Information

Primary practice address
69 Malden Street Revere MA 02151
Phone: (781) 284-3200
Fax: (781) 284-3893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11092 Massachusetts

Profile Details

NPI number 1508879917
LBN Legal business name D'Eramo, Edward M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 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 1508879917 NPPES
Massachusetts Other 16341 HARVARD PILGRIM
Massachusetts Other X03788 HARVARD PILGRIM

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