Ghosh, Erica Tyler

Ghosh, Erica Tyler is an individual health care provider with primary practice located at 55 Lake Ave N # S2-824 , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Ghosh, Erica Tyler can be contacted via phone (508) 856-5381.

Contact Information

Primary practice address
55 Lake Ave N # S2-824 Worcester MA 01655-0002
Phone: (508) 856-5381
Fax: (508) 334-5586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 240529 Massachusetts

Profile Details

NPI number 1760696140
LBN Legal business name Ghosh, Erica Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated May 3rd, 2019 - about 6 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 1760696140 NPPES
Massachusetts MEDICAID 110085789A

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