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Contact Information

MICHAEL GANETSKY, MD
1 DEACONESS RD # WCC-2
BIDMC, DEPARTMENT OF EMERGENCY MEDICINE
BOSTON, MA02215-5321
 Phone: 617-754-2323
 Fax: 617-754-2350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL GANETSKY · (Male)

NPI # 1053394288
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 12/06/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 220259
  • MA Medicaid 2042011
Hospital affiliation(s)
  • BETH ISRAEL DEACONESS MEDICAL CENTER - (Acute Care)
    330 BROOKLINE AVENUE
    BOSTON, MA 02215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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