Tkacz, Jaroslaw N.

Tkacz, Jaroslaw N. is an individual health care provider with primary practice located at 840 Harrison Ave , Boston MA 02118-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tkacz, Jaroslaw N. can be contacted via phone (617) 638-6610.

Contact Information

Primary practice address

840 Harrison Ave Boston MA 02118-2905

Phone: (617) 638-6610

Fax: (617) 638-6616

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Diagnostic Radiology	2085R0202X	209716	Massachusetts

Profile Details

NPI number	1518938745
LBN Legal business name	Tkacz, Jaroslaw N.
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 27th, 2006
Last updated	Jun 4th, 2020 - about 4 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

State	Type	Number	Issuer
All States	NPI	1518938745	NPPES
Massachusetts	MEDICAID	110034914A
Massachusetts	MEDICAID	3089307

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