Individual
DOMINIC V. PISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 638-6950
(617) 638-6966
Mailing address
960 MASSACHUSETTS AVE, FLR 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
286649
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RC0200X
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
286649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110126383A
—
MA
05
—
3151947
—
NH
Enumeration date
06/20/2012
Last updated
02/25/2026
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