Geha, Dwight G.

Geha, Dwight G. is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Geha, Dwight G. can be contacted via phone (617) 726-8980.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 726-8980
Fax: (617) 726-5985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 35335 Massachusetts

Profile Details

NPI number 1801879580
LBN Legal business name Geha, Dwight G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801879580 NPPES
Massachusetts MEDICAID 2036029
Massachusetts Other 035335
Massachusetts Other B11523

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