Reservitz, George B

Reservitz, George B is an individual health care provider with primary practice located at 300 Mt. Auburn Street, Suite 519 Suite 519, Cambridge MA 02138-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Reservitz, George B can be contacted via phone (617) 547-4400.

Contact Information

Primary practice address
300 Mt. Auburn Street, Suite 519 Suite 519 Cambridge MA 02138-5600
Phone: (617) 547-4400
Fax: (617) 576-1076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 27845 Massachusetts

Profile Details

NPI number 1225037518
LBN Legal business name Reservitz, George B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jun 13th, 2016 - about 8 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 1225037518 NPPES
Massachusetts MEDICAID 6172219

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