National Provider Identifier Database

PENTUCKET MEDICAL ASSOCIATES LLC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


NPI Profile & details for PENTUCKET MEDICAL ASSOCIATES, LLC

NPI Number 1609872886
Legal business name
LBN
PENTUCKET MEDICAL ASSOCIATES, LLC
Authorized official THOMAS FAZIO - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 06/22/2005
Last updated 06/15/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 9786376
  • Other: 5313652 AETNA
  • MA Other: M17320 BCBS
  • MA Other: 0018028 NEIGHBORHOOD HEALTH PLAN
  • MA Other: 681017 TUFTS
  • NH Other: 30210443 NH MEDICAID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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