Ristaino, Jeffrey R
Ristaino, Jeffrey R is an individual health care provider with primary practice located at 330 Baker Ave , Concord MA 01742-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ristaino, Jeffrey R can be contacted via phone (978) 287-9400.Contact Information
Primary practice address
330 Baker Ave
Concord MA 01742-2129
Phone: (978) 287-9400
Fax: (978) 287-9408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 156722 | Massachusetts |
Profile Details
| NPI number | 1629058979 |
|---|---|
| LBN Legal business name | Ristaino, Jeffrey R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Oct 26th, 2020 - about 5 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 | 1629058979 | NPPES |
| Massachusetts | MEDICAID | 3182681 | |
| Massachusetts | Other | 1202088 | |
| Massachusetts | Other | 156722 | |
| Massachusetts | Other | 201805 | |
| Massachusetts | Other | J19117 | |
| Massachusetts | Other | B10329302 | |
| Massachusetts | Other | 0016165 | |
| Massachusetts | Other | 5189645 |
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