Sidorsky, Tivon Isaac
Sidorsky, Tivon Isaac is an individual health care provider with primary practice located at 1 Scobee Cir Ste 3 , Plymouth MA 02360-4887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Sidorsky, Tivon Isaac can be contacted via phone (508) 747-0711.Contact Information
Primary practice address
1 Scobee Cir Ste 3
Plymouth MA 02360-4887
Phone: (508) 747-0711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 258818 | Massachusetts |
Profile Details
| NPI number | 1285952846 |
|---|---|
| LBN Legal business name | Sidorsky, Tivon Isaac |
| Credentials | MD, MBA, FAAD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2010 |
| Last updated | Mar 12th, 2015 - about 9 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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