De Las Morenas, Antonio
De Las Morenas, Antonio is an individual health care provider with primary practice located at 670 Albany St 3Rd Floor, Boston MA 02118-2518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. De Las Morenas, Antonio can be contacted via phone (617) 414-5314.Contact Information
Primary practice address
670 Albany St 3Rd Floor
Boston MA 02118-2518
Phone: (617) 414-5314
Fax: (617) 414-5315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2018-02510 | North Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 53324 | Massachusetts |
Profile Details
| NPI number | 1184697492 |
|---|---|
| LBN Legal business name | De Las Morenas, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Oct 2nd, 2018 - about 6 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 | 1184697492 | NPPES |
| New Hampshire | MEDICAID | 30204459 | |
| New Hampshire | MEDICAID | 3043398 |
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