Awtry, Eric Herschel
Awtry, Eric Herschel is an individual health care provider with primary practice located at 732 Harrison Ave Preston 3Rd Floor, Boston MA 02118-2309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Awtry, Eric Herschel can be contacted via phone (617) 638-7490.Contact Information
Primary practice address
732 Harrison Ave Preston 3Rd Floor
Boston MA 02118-2309
Phone: (617) 638-7490
Fax: (617) 414-8742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 77962 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 77962 | Massachusetts |
Profile Details
| NPI number | 1922084839 |
|---|---|
| LBN Legal business name | Awtry, Eric Herschel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jan 8th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922084839 | NPPES |
| Massachusetts | MEDICAID | 110056793A | |
| Massachusetts | MEDICAID | 3109231 |
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