person
Vidal Primiterio, PA
Medical Physician Assistant in Lawrence, Massachusetts
NPI 1861472987

Vidal Primiterio is a Medical Physician Assistant based in Lawrence, MA and is specialized in Medical. Vidal Primiterio practices in Lawrence, MA and has the professional credentials of PA. The NPI Number for Vidal Primiterio is 1861472987 and holds a License No. 1813 (Massachusetts).

The current practice location address for Vidal Primiterio is 25 Marston St, Lawrence, MA and can be reached out via phone at 978-258-1057 and via fax at 978-258-1520. You can also correspond with Vidal Primiterio through the mailing address at 25 MARSTON ST, LAWRENCE, MA - 01841-2310 (mailing address contact number: 978-258-1057).

Location: 25 Marston St, Lawrence, MA, 01841-2310
person
Provider Profile Details
NPI Number
1861472987
Provider Name
Vidal Primiterio
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
25 Marston St, Lawrence, MA, 01841-2310
Phone Number
978-258-1057
Fax Number
978-258-1520
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y10064 05 MA
institution
Provider Business Practice Location Address Details
Address
25 Marston St
City
State
Zip
01841-2310
Phone Number
978-258-1057
Fax Number
978-258-1520
person
Provider Business Mailing Address Details
Address
25 Marston St
City
State
Zip
01841-2310
Phone Number
978-258-1057
Fax Number
978-258-1520
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1813 (Massachusetts)
Definition
Definition to come...
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