Mr. Anthony John Dibartolomeo
Nurse Practitioner - Psychiatric/Mental Health
180 Main St
Lynnfield
, Massachusetts 01940-2514
Mr. Anthony John Dibartolomeo
Nurse Practitioner - Psychiatric/Mental Health
180 Main St
Lynnfield
, Massachusetts 01940-2514
(617) 548-7064
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mr. Anthony John Dibartolomeo
- 10 Oxford Park
- Revere, MA
- Zip : 02151-4420
- Phone : (617) 548-7064
Second Address
- Mr. Anthony John Dibartolomeo
- 180 Main St
- Lynnfield, MA
- Zip : 01940-2514
- Phone : (617) 548-7964
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | RN2299438 | MA |
National Provider Identifier
| NPI | 1033651880 |
|---|---|
| Provider Name | Mr. Anthony John Dibartolomeo |
| First Address | Revere, MA 02151-4420 |
| Second Address | Lynnfield, MA 01940-2514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2016 |
| Last Update Date | 08/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.