Ockene, Ira S

Ockene, Ira S is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Cardiovascular Medicine, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ockene, Ira S can be contacted via phone (508) 856-3907.

Contact Information

Primary practice address
55 Lake Ave N Department Of Cardiovascular Medicine Worcester MA 01655-0002
Phone: (508) 856-3907
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34458 Massachusetts

Profile Details

NPI number 1336121375
LBN Legal business name Ockene, Ira S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Nov 13th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336121375 NPPES
Massachusetts MEDICAID 2002655
Massachusetts MEDICAID 110033311A

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