Earle G. Woodman, M.D.,P.C.

LBN: Earle G. Woodman, M.D.,P.C.
Earle G. Woodman, M.D.,P.C. is an health care organization with primary practice located at 148 Chestnut St , Needham MA 02492-2505. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Earle G. Woodman, M.D.,P.C. can be contacted via phone (781) 453-3069, or through Woodman, Earle G. via phone (781) 453-3069.

Contact Information

Primary practice address
148 Chestnut St Needham MA 02492-2505
Fax: (781) 453-3660
Website:
Authorized official contact:
Name: Woodman, Earle G. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 26212 Massachusetts
Ambulatory Health Care Facilities / Primary Care 261QP2300X 26212 Massachusetts

Profile Details

NPI number 1861662868
LBN Legal business name Earle G. Woodman, M.D.,P.C.
DBA Doing business as
Authorized official Woodman, Earle G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2008
Last updated Mar 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861662868 NPPES
Other C16037 BLUE CROSS/BLUE SHIELD
Other 66308 BLUE CROSS/BLUE SHIELD
Other M18953 BLUE CROSS/BLUE SHIELD
Other 026212 BLUE CROSS/BLUE SHIELD
MEDICAID 9750011 BLUE CROSS/BLUE SHIELD

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