Scandura, Rosario Angelo

Scandura, Rosario Angelo is an sole proprietor health care provider with primary practice located at 955 Main Street Suite 110, Winchester MA 01890-3147. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Scandura, Rosario Angelo can be contacted via phone (781) 756-1444.

Contact Information

Primary practice address
955 Main Street Suite 110 Winchester MA 01890-3147
Fax: (781) 756-1440
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24674 Massachusetts

Profile Details

NPI number 1588762660
LBN Legal business name Scandura, Rosario Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588762660 NPPES
Massachusetts Other 024674 TUFT'S HEALTH PLAN
Massachusetts MEDICAID 9709355 TUFT'S HEALTH PLAN
Massachusetts Other 130724 TUFT'S HEALTH PLAN

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