Ercolani, Louis
Ercolani, Louis is an individual health care provider with primary practice located at 55 Fruit St Mass General Renal Unit, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ercolani, Louis can be contacted via phone (617) 726-5050.Contact Information
Primary practice address
55 Fruit St Mass General Renal Unit
Boston MA 02114-2621
Phone: (617) 726-5050
Fax: (617) 724-1122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 51939 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 51939 | Massachusetts |
Profile Details
| NPI number | 1164407516 |
|---|---|
| LBN Legal business name | Ercolani, Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Sep 23rd, 2011 - about 14 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 | 1164407516 | NPPES |
| Massachusetts | Other | 051939 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J02728 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 6171494 | TUFTS HEALTH PLAN |
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