Formica, Philip
Formica, Philip is an sole proprietor health care provider with primary practice located at 41 Mall Road Lahey Hospital And Medical Center, Burlington MA 01805-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Formica, Philip can be contacted via phone (781) 744-8460.Contact Information
Primary practice address
41 Mall Road Lahey Hospital And Medical Center
Burlington MA 01805-0001
Phone: (781) 744-8460
Fax: (781) 744-5261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 256905 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 256905 | Massachusetts |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | 256905 | Massachusetts |
Profile Details
| NPI number | 1184883209 |
|---|---|
| LBN Legal business name | Formica, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2008 |
| Last updated | Apr 25th, 2019 - about 6 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 | 1184883209 | NPPES |
| Massachusetts | MEDICAID | 110097738A |
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