VIDAL PRIMITERIO

LAWRENCE, MA
NPI1861472987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  1813)
Enumeration Date2006-01-17
Last Update Date2014-09-10
Business Address
-- VIDAL PRIMITERIO PA
25 MARSTON ST SUITE 105
LAWRENCE, MA 01841-2310
Phone number: 978-258-1057
Mailing Address
-- VIDAL PRIMITERIO PA
25 MARSTON ST SUITE 105
LAWRENCE, MA 01841-2310
Phone number: 978-258-1057
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