Pettinato, Andrea A

Pettinato, Andrea A is an individual health care provider with primary practice located at 333 Longwood Ave Floor 5, Boston MA 02115-5711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Pettinato, Andrea A can be contacted via phone (617) 355-5482.

Contact Information

Primary practice address
333 Longwood Ave Floor 5 Boston MA 02115-5711
Phone: (617) 355-5482
Fax: (617) 730-0185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 214618 Massachusetts

Profile Details

NPI number 1558448183
LBN Legal business name Pettinato, Andrea A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558448183 NPPES
Massachusetts MEDICAID 2040514

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