Edrich, Thomas

Edrich, Thomas is an individual health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Edrich, Thomas can be contacted via phone (617) 789-2782.

Contact Information

Primary practice address
736 Cambridge St Brighton MA 02135-2907
Phone: (617) 789-2782
Fax: (617) 254-6384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 219917 Massachusetts

Profile Details

NPI number 1295721827
LBN Legal business name Edrich, Thomas
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295721827 NPPES
Massachusetts MEDICAID 2034671

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