Roach, Jeffrey C

Roach, Jeffrey C is an sole proprietor health care provider with primary practice located at 300 Mount Auburn St Suite 308, Cambridge MA 02138-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Roach, Jeffrey C can be contacted via phone (616) 354-1010.

Contact Information

Primary practice address
300 Mount Auburn St Suite 308 Cambridge MA 02138-5600
Phone: (616) 354-1010
Fax: (617) 354-7961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 213496 Massachusetts

Profile Details

NPI number 1861425811
LBN Legal business name Roach, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Sep 26th, 2011 - about 14 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 1861425811 NPPES
Massachusetts MEDICAID 0195871

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