Provider Demographics
NPI:1447234737
Name:ORIO, KRISTINA E (DO)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:E
Last Name:ORIO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-7447
Mailing Address - Country:US
Mailing Address - Phone:781-894-6900
Mailing Address - Fax:
Practice Address - Street 1:1030 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-7447
Practice Address - Country:US
Practice Address - Phone:781-894-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8228207P00000X
MA245622207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193682502Medicaid
TX193682503Medicaid
TX8AH274OtherBCBSTX
TX8K8021Medicare PIN
TX8AH274OtherBCBSTX
TX193682502Medicaid