Segal, Ita S

Segal, Ita S is an individual health care provider with primary practice located at 135 Gold Star Blvd , Worcester MA 01606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Segal, Ita S can be contacted via phone (508) 853-2716.

Contact Information

Primary practice address
135 Gold Star Blvd Worcester MA 01606
Phone: (508) 853-2716
Fax: (508) 856-9025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 030717 Connecticut

Profile Details

NPI number 1659347904
LBN Legal business name Segal, Ita S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2008 - about 16 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 1659347904 NPPES
Other AA39601 HARVARD PILGRIM HEALTHCAR
Other 042472266 HARVARD PILGRIM HEALTHCAR
Other 042472266 HARVARD PILGRIM HEALTHCAR
Other 2110458 HARVARD PILGRIM HEALTHCAR
Other 77954 HARVARD PILGRIM HEALTHCAR
MEDICAID 2110458 HARVARD PILGRIM HEALTHCAR
Other 347461 HARVARD PILGRIM HEALTHCAR
Other J29502 HARVARD PILGRIM HEALTHCAR
Other 786705 HARVARD PILGRIM HEALTHCAR

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