Ganson-Myshkin, Natalia
Ganson-Myshkin, Natalia is an individual health care provider with primary practice located at 2110 Dorchester Ave , Dorchester Center MA 02124-5628. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ganson-Myshkin, Natalia can be contacted via phone (617) 436-3786.Contact Information
Primary practice address
2110 Dorchester Ave
Dorchester Center MA 02124-5628
Phone: (617) 436-3786
Fax: (617) 296-5778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 75596 | Massachusetts |
Profile Details
| NPI number | 1457340515 |
|---|---|
| LBN Legal business name | Ganson-Myshkin, Natalia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Sep 2nd, 2015 - about 11 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 | 1457340515 | NPPES |
| Massachusetts | Other | J12678 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | MEDICAID | 3095347 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | Other | 64121 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | Other | B10065602 | BLUE CROSS/BLUE SHIELD |
| Massachusetts | Other | 075596 | BLUE CROSS/BLUE SHIELD |
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