Auerbach, Jerome

Auerbach, Jerome is an individual health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Auerbach, Jerome can be contacted via phone (617) 421-1000.

Contact Information

Primary practice address
133 Brookline Ave Boston MA 02215-3904
Phone: (617) 421-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 44121 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44121 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 117208 New York

Profile Details

NPI number 1417942129
LBN Legal business name Auerbach, Jerome
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Sep 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417942129 NPPES
Massachusetts MEDICAID 2070154
Massachusetts MEDICAID 00579915
Massachusetts Other 677T91

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