Dzik, Walter H
Dzik, Walter H is an individual health care provider with primary practice located at 55 Fruit St Wrn 2 Pathology Associates, Boston MA 02114-2621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Dzik, Walter H can be contacted via phone (617) 726-3715.Contact Information
Primary practice address
55 Fruit St Wrn 2 Pathology Associates
Boston MA 02114-2621
Phone: (617) 726-3715
Fax: (617) 726-6832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56321 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 56321 | Massachusetts |
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 56321 | Massachusetts |
Profile Details
| NPI number | 1295726495 |
|---|---|
| LBN Legal business name | Dzik, Walter H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Oct 21st, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295726495 | NPPES |
| Massachusetts | Other | J05450 | BCBS MA |
| Massachusetts | MEDICAID | 3002446 | BCBS MA |
| Massachusetts | Other | 791725 | BCBS MA |
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