Medzon, Ron

Medzon, Ron is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl Dowling 1 South, Boston MA 02118-2908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Medzon, Ron can be contacted via phone (617) 414-5481.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Dowling 1 South Boston MA 02118-2908
Phone: (617) 414-5481
Fax: (617) 414-7759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 152728 Massachusetts

Profile Details

NPI number 1861465825
LBN Legal business name Medzon, Ron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated May 7th, 2014 - about 10 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 1861465825 NPPES
Massachusetts Other J17574 BCBS
Massachusetts MEDICAID 110058559A BCBS
Massachusetts Other 764662 BCBS

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