Burch, Ezra

Burch, Ezra is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Burch, Ezra can be contacted via phone (617) 732-5500.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 262774 Massachusetts

Profile Details

NPI number 1346687894
LBN Legal business name Burch, Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2013
Last updated Jun 12th, 2020 - about 4 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 1346687894 NPPES
Massachusetts MEDICAID 110129667A

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