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DR. BARUCH SOLOMON TICHO MD PHD NPI 1437199403


NPI Information

NPI: 1437199403
Provider Name: DR. BARUCH SOLOMON TICHO, MD PHD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
55 FRUIT STREET
VBK 615 PEDIATRIC CARDIOLOGY
BOSTON, MA
ZIP 02114
Phone: (617) 726-3826
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DR. Baruch Solomon Ticho, MD PHD is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Baruch Solomon Ticho, MD PHD NPI is 1437199403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 FRUIT STREET
VBK 615 PEDIATRIC CARDIOLOGY
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-3826
Fax: (617) 726-2049

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics75438MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1729867OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2A23473MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
33129675MEDICAIDMASSACHUSETTS
4F87998MEDICARE UPIN
5J14729OTHERMASSACHUSETTSBCBS MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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