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Dr. Erica Tyler Ghosh, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1760696140

Erica Tyler Ghosh is a Diagnostic Radiology Physician based in Worcester, MA and is specialized in Diagnostic Radiology. Erica Tyler Ghosh practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Erica Tyler Ghosh is 1760696140 and holds a License No. (Massachusetts).

The current practice location address for Erica Tyler Ghosh is 55 Lake Ave N # S2-824, Worcester, MA and can be reached out via phone at 508-856-5381 and via fax at 508-334-5586.

Location: 55 Lake Ave N # S2-824, Worcester, MA, 01655-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760696140
Provider Name
Erica Tyler Ghosh
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N # S2-824, Worcester, MA, 01655-0002
Phone Number
508-856-5381
Fax Number
508-334-5586
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110085789A 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N # S2-824
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-856-5381
Fax Number
508-334-5586
person
Provider Business Mailing Address Details
Address
55 Lake Ave N # S2-824
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-856-5381
Fax Number
508-334-5586
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
240529 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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