Provider Demographics
NPI:1336954833
Name:PIMENTEL, ASHA
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:PIMENTEL
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:SALVADOR
Other - Middle Name:
Other - Last Name:PIMENTEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:54 PILGRIM RD
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-4127
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 SURVEY CIR STE 201
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2128
Practice Address - Country:US
Practice Address - Phone:978-667-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide