Eldredge, Elizabeth A.

Eldredge, Elizabeth A. is an individual health care provider with primary practice located at 55 Fogg Rd , South Weymouth MA 02190-2432. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Eldredge, Elizabeth A. can be contacted via phone (781) 340-8000.

Contact Information

Primary practice address
55 Fogg Rd South Weymouth MA 02190-2432
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 80363 Massachusetts

Profile Details

NPI number 1295716470
LBN Legal business name Eldredge, Elizabeth A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 13th, 2021 - about 3 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 1295716470 NPPES
Massachusetts Other 53077 FALLON
Massachusetts MEDICAID 3133052 FALLON
Massachusetts Other 758551 FALLON
Massachusetts Other 275018 FALLON
Massachusetts Other J31003 FALLON

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