Mcham, Mary Lisa

Mcham, Mary Lisa is an individual health care provider with primary practice located at 97 Libbey Industrial Pkwy Ste 100 , East Weymouth MA 02189-3110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Mcham, Mary Lisa can be contacted via phone (781) 331-3300.

Contact Information

Primary practice address
97 Libbey Industrial Pkwy Ste 100 East Weymouth MA 02189-3110
Phone: (781) 331-3300
Fax: (781) 337-8356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 77904 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 77904 Massachusetts

Profile Details

NPI number 1922055664
LBN Legal business name Mcham, Mary Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Dec 23rd, 2021 - 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 1922055664 NPPES
Massachusetts MEDICAID 110053096A
Massachusetts Other J13871

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