Hurtado, David
Hurtado, David is an sole proprietor health care provider with primary practice located at 2181 Washington St Suite 305, Roxbury MA 02119-2082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Hurtado, David can be contacted via phone (617) 541-0772.Contact Information
Primary practice address
2181 Washington St Suite 305
Roxbury MA 02119-2082
Phone: (617) 541-0772
Fax: (617) 427-6220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 215879 | Massachusetts |
Profile Details
| NPI number | 1376614412 |
|---|---|
| LBN Legal business name | Hurtado, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376614412 | NPPES |
| Massachusetts | Other | 3110263 | AETNA |
| Massachusetts | Other | 43531603 | AETNA |
| Massachusetts | Other | J25762 | AETNA |
| Massachusetts | Other | 2005531 | AETNA |
| Massachusetts | Other | 2300293 | AETNA |
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