De Martino, Vincent
De Martino, Vincent is an individual health care provider with primary practice located at 1842 Beacon St Suite 401, Brookline MA 02445-1930. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. De Martino, Vincent can be contacted via phone (617) 739-2899.Contact Information
Primary practice address
1842 Beacon St Suite 401
Brookline MA 02445-1930
Phone: (617) 739-2899
Fax: (617) 739-5967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9925 | Massachusetts |
Profile Details
| NPI number | 1649313693 |
|---|---|
| LBN Legal business name | De Martino, Vincent |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1649313693 | NPPES |
| Massachusetts | Other | 3782214 | AETNA |
| Massachusetts | Other | 404888 | AETNA |
| Massachusetts | MEDICAID | 0306037 | AETNA |
| Massachusetts | Other | Y67332 | AETNA |
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