Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 150203 | MA |
N | 111NI0900X | Internist | 150203 | MA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 150203 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 150203 | MA |
NPI | 1396722203 |
---|---|
Provider Name | David R Pimentel |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 05/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110059451A | (05) | MA |
F43577 | (02) | MA |