Ticho, Baruch Solomon

Ticho, Baruch Solomon is an individual health care provider with primary practice located at 55 Fruit Street Vbk 615 Pediatric Cardiology, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ticho, Baruch Solomon can be contacted via phone (617) 726-3826.

Contact Information

Primary practice address
55 Fruit Street Vbk 615 Pediatric Cardiology Boston MA 02114-2696
Fax: (617) 726-2049
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 75438 Massachusetts

Profile Details

NPI number 1437199403
LBN Legal business name Ticho, Baruch Solomon
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1437199403 NPPES
Massachusetts Other J14729 BCBS MA
Massachusetts MEDICAID 3129675 BCBS MA
Massachusetts Other 729867 BCBS MA

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