Breitbart, Roger
Breitbart, Roger is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Breitbart, Roger can be contacted via phone (617) 355-6793.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 53193 | Massachusetts |
Profile Details
| NPI number | 1174597983 |
|---|---|
| LBN Legal business name | Breitbart, Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Dec 10th, 2009 - about 16 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 | 1174597983 | NPPES |
| New York | MEDICAID | 1098686 | |
| New York | MEDICAID | 003066653 | |
| New York | MEDICAID | 30002638 | |
| New York | MEDICAID | 3036791 |
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