Semigran, Marc Jay
Semigran, Marc Jay is an individual health care provider with primary practice located at 55 Fruit St Grey Bigelow 840, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Semigran, Marc Jay can be contacted via phone (617) 726-8862.Contact Information
Primary practice address
55 Fruit St Grey Bigelow 840
Boston MA 02114-2696
Phone: (617) 726-8862
Fax: (617) 726-4105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 53859 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 53859 | Massachusetts |
Profile Details
| NPI number | 1063482602 |
|---|---|
| LBN Legal business name | Semigran, Marc Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Feb 11th, 2014 - about 10 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 | 1063482602 | NPPES |
| Massachusetts | Other | J04904 | BCBS MA |
| Massachusetts | MEDICAID | 3044173 | BCBS MA |
| Massachusetts | Other | 713854 | BCBS MA |
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