Peralta, Ruben
Peralta, Ruben is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Surgical Critical Care, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Peralta, Ruben can be contacted via phone (508) 856-5288.Contact Information
Primary practice address
55 Lake Ave N Department Of Surgical Critical Care
Worcester MA 01655-0002
Phone: (508) 856-5288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 207831 | Massachusetts |
Profile Details
| NPI number | 1841281078 |
|---|---|
| LBN Legal business name | Peralta, Ruben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841281078 | NPPES |
| Massachusetts | MEDICAID | 0105465 |
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