Irwin, Richard S

Irwin, Richard S is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Pulmonary Medicine, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Irwin, Richard S can be contacted via phone (508) 856-1919.

Contact Information

Primary practice address
55 Lake Ave N Department Of Pulmonary Medicine Worcester MA 01655-0002
Phone: (508) 856-1919
Fax: (508) 856-3999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 43633 Massachusetts

Profile Details

NPI number 1619950722
LBN Legal business name Irwin, Richard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 13th, 2020 - about 4 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 1619950722 NPPES
Massachusetts MEDICAID 110038013A

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