Birbara, Charles A

Birbara, Charles A is an individual health care provider with primary practice located at 25 Oak Ave , Worcester MA 01605-2751. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Birbara, Charles A can be contacted via phone (508) 799-2674.

Contact Information

Primary practice address
25 Oak Ave Worcester MA 01605-2751
Fax: (508) 799-2586
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32425 Massachusetts

Profile Details

NPI number 1093705410
LBN Legal business name Birbara, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 8th, 2012 - 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 1093705410 NPPES
Massachusetts MEDICAID 2034697

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