Kasuba, Paul L.
Kasuba, Paul L. is an individual health care provider with primary practice located at 63 Pleasant St , Watertown MA 02472-2386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kasuba, Paul L. can be contacted via phone (617) 924-6484.Contact Information
Primary practice address
63 Pleasant St
Watertown MA 02472-2386
Phone: (617) 924-6484
Fax: (617) 924-6142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57746 | Massachusetts |
Profile Details
| NPI number | 1851389969 |
|---|---|
| LBN Legal business name | Kasuba, Paul L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Jan 14th, 2016 - about 10 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 | 1851389969 | NPPES |
| Massachusetts | MEDICAID | 3037754 |
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