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Individual

RICHARD A DENTREMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7 ALFRED ST, BALDWIN PARK II, WOBURN, MA 01801-1976
(781) 933-6236
(781) 938-8050
Mailing address
7 ALFRED ST, BALDWIN PARK II, WOBURN, MA 01801-1976
(781) 933-6236
(781) 938-8050

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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