Ptak, Thomas

Ptak, Thomas is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ptak, Thomas can be contacted via phone (508) 334-3850.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-3850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0083946 Maryland
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X D0083946 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 74590 Massachusetts

Profile Details

NPI number 1467436394
LBN Legal business name Ptak, Thomas
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 9th, 2024 - about 6 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467436394 NPPES
District of Columbia MEDICAID 091658433
District of Columbia MEDICAID 889007200

Popular Providers