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Individual
RICHARD A DENTREMONT
Active
Individual
RICHARD A DENTREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39357
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091693001
CIGNA
MA
01
—
039357
TUFTS HEALTH PLAN
MA
01
—
20187
HARVARD COMMUNITY HEALTH
MA
05
—
2049813
—
MA
01
—
B54042
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/10/2006
Last updated
01/27/2011
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