Individual
MR. ANTHONY JOHN DIBARTOLOMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
180 MAIN ST, LYNNFIELD, MA 01940-2514
(617) 548-7964
Mailing address
10 OXFORD PARK, REVERE, MA 02151-4420
(617) 548-7064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2299438
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2299438
MA
Other
Enumeration date
11/10/2016
Last updated
02/08/2017
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