Provider Demographics
NPI:1912107236
Name:TIROCH, KLAUS ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:KLAUS
Middle Name:ALEXANDER
Last Name:TIROCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 SPRUCE LN APT 6
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4048
Mailing Address - Country:US
Mailing Address - Phone:598-545-0386
Mailing Address - Fax:617-264-6860
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPARTMENT OF CARDIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-525-7161
Practice Address - Fax:617-264-6860
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231684207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease