Individual
DR. RICHARD MARIO PINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT STREET CLN 3, ANESTHESIA ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-8545
(617) 726-7536
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
79122
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
79122
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079122
TUFTS HEALTH PLAN
MA
05
—
3132170
—
MA
01
—
J31055
BCBS MA
MA
Enumeration date
12/16/2005
Last updated
09/11/2025
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