Provider Demographics
NPI:1780284828
Name:CINTOLO, JAMES D (RN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:CINTOLO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 BROADWAY UNIT 826
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-8034
Mailing Address - Country:US
Mailing Address - Phone:978-289-0669
Mailing Address - Fax:
Practice Address - Street 1:15 LOUISE AVE
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3536
Practice Address - Country:US
Practice Address - Phone:978-289-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2331238163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse