Dibernardo, Allitia Beth
Dibernardo, Allitia Beth is an individual health care provider with primary practice located at 15 Parkman St Wac 835 Neurology Associates, Boston MA 02114-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Dibernardo, Allitia Beth can be contacted via phone (617) 726-5533.Contact Information
Primary practice address
15 Parkman St Wac 835 Neurology Associates
Boston MA 02114-3117
Phone: (617) 726-5533
Fax: (617) 726-6991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 221272 | Massachusetts |
Profile Details
| NPI number | 1689658981 |
|---|---|
| LBN Legal business name | Dibernardo, Allitia Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| 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 | 1689658981 | NPPES |
| Massachusetts | Other | J27710 | BCBS MA |
| Massachusetts | MEDICAID | 2076993 | BCBS MA |
| Massachusetts | Other | 469544 | BCBS MA |
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