Madoff, Lawrence Charles

Madoff, Lawrence Charles is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Madoff, Lawrence Charles can be contacted via phone (508) 334-6053.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Fax: (508) 334-6412
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 55471 Massachusetts

Profile Details

NPI number 1720044050
LBN Legal business name Madoff, Lawrence Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 12th, 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 1720044050 NPPES
Massachusetts MEDICAID 110046762A

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