Slate, Jerome Lawrence
Slate, Jerome Lawrence is an individual health care provider with primary practice located at 300 Mount Auburn St Suite 514, Cambridge MA 02138-5665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Slate, Jerome Lawrence can be contacted via phone (617) 497-0335.Contact Information
Primary practice address
300 Mount Auburn St Suite 514
Cambridge MA 02138-5665
Phone: (617) 497-0335
Fax: (617) 492-7480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 38197 | Massachusetts |
Profile Details
| NPI number | 1518976570 |
|---|---|
| LBN Legal business name | Slate, Jerome Lawrence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518976570 | NPPES |
| Massachusetts | MEDICAID | 2043467 | |
| Massachusetts | Other | 26154 | |
| Massachusetts | Other | 60226 | |
| Massachusetts | Other | 0012351 | |
| Massachusetts | Other | B33479 | |
| Massachusetts | Other | 710593 |
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