Cloherty, John Joseph

Cloherty, John Joseph is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy Emergency Department, West Roxbury MA 02132-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cloherty, John Joseph can be contacted via phone (617) 323-7700.

Contact Information

Primary practice address
1400 Vfw Pkwy Emergency Department West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax: (857) 203-5645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 150879 Massachusetts

Profile Details

NPI number 1609970193
LBN Legal business name Cloherty, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609970193 NPPES
Massachusetts Other J17245 BLUE SHIELD
Massachusetts Other 39-00216 BLUE SHIELD
Massachusetts MEDICAID 3176291 BLUE SHIELD

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