Dagostino, Eduardo O
Dagostino, Eduardo O is an individual health care provider with primary practice located at 349 N Main St , Andover MA 01810-2687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dagostino, Eduardo O can be contacted via phone (978) 475-0959.Contact Information
Primary practice address
349 N Main St
Andover MA 01810-2687
Phone: (978) 475-0959
Fax: (978) 475-1769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 44715 | Massachusetts |
Profile Details
| NPI number | 1912907718 |
|---|---|
| LBN Legal business name | Dagostino, Eduardo O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Dec 6th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912907718 | NPPES |
| Other | C04853 | BLUE SHIELD | |
| MEDICAID | 0104086 | BLUE SHIELD |
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