Etskovitz, Ronald Brian

Etskovitz, Ronald Brian is an individual health care provider with primary practice located at 1244 Boylston St Suite 101, Chestnut Hill MA 02467-2116. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Etskovitz, Ronald Brian can be contacted via phone (617) 232-1752.

Contact Information

Primary practice address
1244 Boylston St Suite 101 Chestnut Hill MA 02467-2116
Phone: (617) 232-1752
Fax: (617) 566-3919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1948 Massachusetts

Profile Details

NPI number 1578587085
LBN Legal business name Etskovitz, Ronald Brian
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 26th, 2013 - about 11 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 1578587085 NPPES
Massachusetts MEDICAID 0362307

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