Ganetsky, Michael

Ganetsky, Michael is an individual health care provider with primary practice located at 1 Deaconess Rd # Wcc-2 Bidmc, Department Of Emergency Medicine, Boston MA 02215-5321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ganetsky, Michael can be contacted via phone (617) 754-2323.

Contact Information

Primary practice address
1 Deaconess Rd # Wcc-2 Bidmc, Department Of Emergency Medicine Boston MA 02215-5321
Phone: (617) 754-2323
Fax: (617) 754-2350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 220259 Massachusetts
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 220259 Massachusetts

Profile Details

NPI number 1053394288
LBN Legal business name Ganetsky, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 6th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053394288 NPPES
Massachusetts MEDICAID 2042011

Popular Providers