Breckwoldt, William L

Breckwoldt, William L is an individual health care provider with primary practice located at 955 Main Street Suite G2A, Winchester MA 01890-1961. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Breckwoldt, William L can be contacted via phone (781) 729-2020.

Contact Information

Primary practice address
955 Main Street Suite G2A Winchester MA 01890-1961
Phone: (781) 729-2020
Fax: (781) 729-6846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 70797 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 70797 Massachusetts
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 70797 Massachusetts

Profile Details

NPI number 1306814272
LBN Legal business name Breckwoldt, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306814272 NPPES
Massachusetts MEDICAID 3053318

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