Kalustian, Albert A
Kalustian, Albert A is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kalustian, Albert A can be contacted via phone (617) 638-6950.Contact Information
Primary practice address
1 Boston Medical Ctr Pl
Boston MA 02118-2908
Phone: (617) 638-6950
Fax: (617) 638-6966
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 56223 | Massachusetts |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 56223 | Massachusetts |
Profile Details
NPI number | 1164511622 |
---|---|
LBN Legal business name | Kalustian, Albert A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2006 |
Last updated | May 31st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164511622 | NPPES |
Massachusetts | MEDICAID | 110048118A | |
Massachusetts | MEDICAID | 3092910 |
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