Rico Francis Autori, D.M.D
Individual provider Active NPI Anesthesiology Physician · Danvers, MA
NPI 1083823918 · NPPES record last updated Apr 15, 2009
Key facts
- NPI
- 1083823918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 1228420 (MA)
- Practice address
- 5 Grapevine Rd
Danvers, MA 01923-2530 - Phone
- (978) 750-4449
- Fax
- (978) 750-8886
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1228420 | MA | MD | Pediatric Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 1228420 | MA | |
| Anesthesiology Physician | 207L00000X | 1228420 | MA | Yes |
Addresses
Primary practice location
5 Grapevine Rd
Danvers, MA 01923-2530
Mailing address
5 Grapevine Rd
Danvers, MA 01923-2530
Phone (978) 750-4449
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All providers in Danvers, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.