Oganesov, Ruben

Oganesov, Ruben is an individual health care provider with primary practice located at 39 Brighton Ave , Allston MA 02134-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Oganesov, Ruben can be contacted via phone (617) 783-5783.

Contact Information

Primary practice address
39 Brighton Ave Allston MA 02134-2301
Fax: (617) 783-1519
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 56569 Massachusetts

Profile Details

NPI number 1457562050
LBN Legal business name Oganesov, Ruben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 9th, 2007 - about 19 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 1457562050 NPPES
Massachusetts MEDICAID 3057291
Massachusetts MEDICAID 9762736

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