Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1786 | MA |
NPI | 1457341257 |
---|---|
Provider Name | Dr. Dominick Garibaldi |
First Address | Winthrop, MA 02152-1021 |
Second Address | Winthrop, MA 02152-1021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 20/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0037250 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
0093909 | AETNA USHC (01) | MA |
0361399 | (05) | MA |
0972475 | CIGNA (01) | MA |
33595 | HARVARD PILGIM HEALTH CAR (01) | MA |
715076 | TUFTS HEALTH PLAN (01) | MA |
99448201 | NETWORK HEALTH (01) | MA |
T58771 | (02) | MA |
Y70802 | BLUE SHEILD OF MA (01) | MA |