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Contact Information

JAY M BARUCH, MD
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-519-1604
 Fax: 401-272-0538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JAY M BARUCH · (Male)

NPI # 1619950581
Status Active
Credentials MD
Entity Individual
Enumeration date 11/23/2005
Last updated 08/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • RI License # MD10404
  • MA Medicaid 2152401
  • RI Medicaid JB33017
  • MA Other 12/29/2008 TUFTS HEALTH PLAN
  • RI Other 25129-5 BCBSRI GROUP
  • RI Other 407365 BLUECHIP
  • RI Other 10/30/2008 NHPRI
  • RI Other 1619959581 NPI
  • RI Other 007060262 RI MEDICARE (UEMF)
  • RI Other 04/15/2009 UNITED HEALTHCARE
Hospital affiliation(s)
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
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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