Individual
DR. EDUARDO O DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
349 N MAIN ST, ANDOVER, MA 01810-2687
(978) 475-0959
(978) 475-1769
Mailing address
181 WELLS AVE STE 302, NEWTON, MA 02459-3344
(781) 972-7136
(781) 972-7166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
44715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104086
—
MA
01
—
C04853
BLUE SHIELD
—
Enumeration date
07/22/2005
Last updated
12/06/2022
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