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EARLE G. WOODMAN M.D.P.C. NPI 1861662868


NPI Information

NPI: 1861662868
Provider Name: EARLE G. WOODMAN, M.D.,P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
148 CHESTNUT ST
NEEDHAM, MA
ZIP 02492
Phone: (781) 453-3069
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EARLE G. WOODMAN, M.D.,P.C. is a primary care clinic center in Needham, MA. EARLE G. WOODMAN, M.D.,P.C. NPI is 1861662868. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

148 CHESTNUT ST
NEEDHAM, MA
ZIP 02492-505
Phone: (781) 453-3069
Fax: (781) 453-3660

The provider's authorized official is Earle G. Woodman .
The authorized official title is President and has the following contact phone number (781) 453-3069.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult Medicine26212MASSACHUSETTSNo
2261QP2300XClinic/CenterPrimary Care26212MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C16037MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
2C16037OTHERBLUE CROSS/BLUE SHIELD
39750011MEDICAIDMASSACHUSETTS
4026212OTHERTUFTS
566308OTHERHARVARD PILGRIM
6M18953OTHERBLUE CROSS/BLUE SHIELD
7A41306MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.