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Individual

DR. EDWARD M D'ERAMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
69 MALDEN STREET, REVERE, MA 02151
(781) 284-3200
(781) 284-3893
Mailing address
69 MALDEN STREET, REVERE, MA 02151
(781) 284-3200
(781) 284-3893

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11092
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16341
HARVARD PILGRIM
MA
01
X03788
BLUE CROSS
MA
Enumeration date
08/15/2006
Last updated
07/08/2007
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