Individual
PAUL PETER DIMARTINO
Active
Individual
PAUL PETER DIMARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
204973
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006405631
—
VA
01
—
0491953
CIGNA
VA
01
—
08936187200
OHIO WORK COMP
VA
01
—
0900797
UNITED HEALTHCARE
VA
01
—
1005877
US HEALTHCARE-AETNA HMO
VA
01
—
107537
ANTHEM BC/BS
VA
01
—
13765
SENTARA-OPTIMA HEALTH
VA
01
—
150146600
US DEPT OF LABOR
VA
01
—
19706
CARENET-MEDICAID
VA
01
—
258231
MDIPA,MAMSI,OPTIMUM CHOIC
VA
01
—
4023216
AETNA
VA
01
—
54-1739189
FED TAX ID
VA
01
—
83299
SOUTHERN HEALTH
VA
Enumeration date
05/04/2006
Last updated
05/15/2014
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