Fugazzotto, Paul Anthony
Fugazzotto, Paul Anthony is an sole proprietor health care provider with primary practice located at 25 High St Suite 103, Milton MA 02186-3426. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Fugazzotto, Paul Anthony can be contacted via phone (671) 696-7257.Contact Information
Primary practice address
25 High St Suite 103
Milton MA 02186-3426
Phone: (671) 696-7257
Fax: (617) 696-6635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 14401 | Massachusetts |
Profile Details
| NPI number | 1235254681 |
|---|---|
| LBN Legal business name | Fugazzotto, Paul Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 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 | 1235254681 | NPPES |
| Massachusetts | Other | X10364 | BLUE CROSS & BLUE SHIELD |
| Massachusetts | Other | X31025 | BLUE CROSS & BLUE SHIELD |
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