Bynum, T Edward
Bynum, T Edward is an individual health care provider with primary practice located at 65 Fremont St , Marlboro MA 01752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bynum, T Edward can be contacted via phone (508) 624-0605.Contact Information
Primary practice address
65 Fremont St
Marlboro MA 01752
Phone: (508) 624-0605
Fax: (508) 229-8694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 44316 | Massachusetts |
Profile Details
| NPI number | 1790866655 |
|---|---|
| LBN Legal business name | Bynum, T Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1790866655 | NPPES |
| Massachusetts | MEDICAID | 2070235 |
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