Mccauley, Roy

Mccauley, Roy is an individual health care provider with primary practice located at 300 Longwood Ave , Boston MA 02115-5724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Mccauley, Roy can be contacted via phone (617) 355-8382.

Contact Information

Primary practice address
300 Longwood Ave Boston MA 02115-5724
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 56326 Massachusetts

Profile Details

NPI number 1801831946
LBN Legal business name Mccauley, Roy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
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 1801831946 NPPES
Massachusetts Other M09373 BCBS
Massachusetts MEDICAID 2048264 BCBS

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