Individual
RICHARD S D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
77064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110052427A
—
MA
05
—
3104141
—
MA
Enumeration date
10/11/2006
Last updated
11/03/2010
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