Raizman, Michael B

Raizman, Michael B is an individual health care provider with primary practice located at 50 Staniford St Suite 600, Boston MA 02114-2517. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Raizman, Michael B can be contacted via phone (617) 367-4800.

Contact Information

Primary practice address
50 Staniford St Suite 600 Boston MA 02114-2517
Phone: (617) 367-4800
Fax: (617) 723-7028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 55622 Massachusetts

Profile Details

NPI number 1790775203
LBN Legal business name Raizman, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 21st, 2021 - about 5 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 1790775203 NPPES
Massachusetts MEDICAID 110045420A
Massachusetts Other 055622

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