Provider Demographics
NPI:1417921438
Name:NASCIMBEN, LUIGINO (MD)
Entity Type:Individual
Prefix:MR
First Name:LUIGINO
Middle Name:
Last Name:NASCIMBEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:CWN-L1-24
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-6660
Mailing Address - Fax:617-732-6798
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:CWN-L1-24
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-6660
Practice Address - Fax:617-732-6798
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158419207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology