Lahey, Philip J.

Lahey, Philip J. is an individual health care provider with primary practice located at 59 Quinsigamond Ave , Worcester MA 01610-1806. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lahey, Philip J. can be contacted via phone (508) 755-1559.

Contact Information

Primary practice address
59 Quinsigamond Ave Worcester MA 01610-1806
Fax: (508) 755-5640
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37790 Massachusetts

Profile Details

NPI number 1376528323
LBN Legal business name Lahey, Philip J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 11th, 2012 - about 12 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 1376528323 NPPES
Massachusetts MEDICAID 2065908

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