Iverson, Ronald E

Iverson, Ronald E is an individual health care provider with primary practice located at 850 Harrison Ave Yawkey 4Th Floor, Boston MA 02118-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Iverson, Ronald E can be contacted via phone (617) 414-2000.

Contact Information

Primary practice address
850 Harrison Ave Yawkey 4Th Floor Boston MA 02118-4001
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 151356 Massachusetts

Profile Details

NPI number 1942290796
LBN Legal business name Iverson, Ronald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Nov 5th, 2024 - about 2 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 1942290796 NPPES
Massachusetts MEDICAID 110057238A

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