DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VIDAL PRIMITERIO PA

MEDICARE: VIDAL PRIMITERIO PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1813MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861472987
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIDAL PRIMITERIO PA
Provider Business Mailing Address
First Line : 25 MARSTON ST
Second Line : SUITE 105
City : LAWRENCE
State : MA
Zip : 01841-2310
Country : US
Telephone Number : 978-258-1057
Fax Number : 978-258-1520
Provider Business Practice Location Address
First Line : 25 MARSTON ST
Second Line : SUITE 105
City : LAWRENCE
State : MA
Zip : 01841-2310
Country : US
Telephone Number : 978-258-1057
Fax Number : 978-258-1520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 09/10/2014

Similar Medicare Providers

1093719924 — DAVID FARZAN MD
Practice Location Address:
25 MARSTON ST , 3RD FL
LAWRENCE, MA
01841-2310
Practice Phone: 978-688-3100
Practice Fax: 978-557-8633
1821092776 — MICHAEL GIORGETTI M.D.
Practice Location Address:
25 MARSTON ST FL 3
LAWRENCE, MA
01841-2310
Practice Phone: 978-688-3100
Practice Fax: 978-688-3133
1891799524 — KAREN INGRID HUNT M.D.
Practice Location Address:
25 MARSTON ST 3RD FL
LAWRENCE, MA
01841-2310
Practice Phone: 978-688-3100
Practice Fax: 978-557-8863
1306844220 — DRASKO SIMOVIC MD
Practice Location Address:
25 MARSTON ST , SUITE 208
LAWRENCE, MA
01841-2310
Practice Phone: 978-687-2587
Practice Fax: 978-687-8268
1336148618 — THEODORE GAVRILESCU MD
Practice Location Address:
25 MARSTON ST , SUITE 208
LAWRENCE, MA
01841-2310
Practice Phone: 978-687-2587
Practice Fax: 978-687-8268
1326021429 — PEDRO M SANZ-ALTAMIRA M.D.
Practice Location Address:
25 MARSTON ST , SUITE #301
LAWRENCE, MA
01841-2310
Practice Phone: 978-946-8230
Practice Fax: 978-946-8226

Directions to “ VIDAL PRIMITERIO PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.