Vidal, Dolores M

Vidal, Dolores M is an individual health care provider with primary practice located at 77 Mass Ave Medical E23-395, Cambridge MA 02139-4301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Vidal, Dolores M can be contacted via phone (617) 253-0556.

Contact Information

Primary practice address
77 Mass Ave Medical E23-395 Cambridge MA 02139-4301
Phone: (617) 253-0556
Fax: (617) 253-6558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 128645 Massachusetts

Profile Details

NPI number 1568434660
LBN Legal business name Vidal, Dolores M
Credentials RN CS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 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 1568434660 NPPES
Massachusetts Other NP1371 BLUE CROSS

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