Biuckians, Ghadam Tom
Biuckians, Ghadam Tom is an individual health care provider with primary practice located at 808 Main St , Waltham MA 02451-8533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Biuckians, Ghadam Tom can be contacted via phone (781) 893-5447.Contact Information
Primary practice address
808 Main St
Waltham MA 02451-8533
Phone: (781) 893-5447
Fax: (781) 894-3037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 39064 | Massachusetts |
Profile Details
| NPI number | 1073583456 |
|---|---|
| LBN Legal business name | Biuckians, Ghadam Tom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 3rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073583456 | NPPES |
| Massachusetts | MEDICAID | 2052474 |
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