Joventino, Lilian P

Joventino, Lilian P is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as her primary health care specialty. Joventino, Lilian P can be contacted via phone (617) 665-1552.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Phone: (617) 665-1552
Fax: (617) 665-1925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 238573 Massachusetts

Profile Details

NPI number 1982621611
LBN Legal business name Joventino, Lilian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Nov 1st, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982621611 NPPES
Maine MEDICAID 1982621611
Maine MEDICAID 3076409

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