Tandon, Manish

Tandon, Manish is an individual health care provider with primary practice located at 230 Highland Ave Medical Specialties, Somerville MA 02143-1408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Tandon, Manish can be contacted via phone (617) 665-1552.

Contact Information

Primary practice address
230 Highland Ave Medical Specialties Somerville MA 02143-1408
Phone: (617) 665-1552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 155573 Massachusetts

Profile Details

NPI number 1417021437
LBN Legal business name Tandon, Manish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Nov 15th, 2007 - about 18 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 1417021437 NPPES
Massachusetts Other J24432 BCBS MA
Massachusetts MEDICAID 0186619 BCBS MA

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