Baruch, Jay M.

Baruch, Jay M. is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Baruch, Jay M. can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD10404 Rhode Island

Profile Details

NPI number 1619950581
LBN Legal business name Baruch, Jay M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 4th, 2011 - about 14 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 1619950581 NPPES
Rhode Island Other 1619959581 NPI
Rhode Island Other 04/15/2009 NPI
Rhode Island Other 10/30/2008 NPI
Rhode Island Other 12/29/2008 NPI
Rhode Island Other 25129-5 NPI
Rhode Island Other 407365 NPI
Rhode Island Other 007060262 NPI
Rhode Island MEDICAID 2152401 NPI
Rhode Island MEDICAID JB33017 NPI

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