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Contact Information

ARA KETCHEDJIAN, MD
850 HARRISON AVE
YACC BN-C7
BOSTON, MA02118-4001
 Phone: 617-414-5405
 Fax: 617-414-6031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ARA KETCHEDJIAN · (Male)

NPI Number 1467599720
Status Active
Credentials MD
Entity Individual
Enumeration date 01/30/2007
Last updated 11/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 219989
  • MA Medicaid 110075849A
Hospital affiliation(s)
  • ST ELIZABETH'S MEDICAL CENTER - (Acute Care)
    736 CAMBRIDGE STREET
    BRIGHTON, MA 02135
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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