Wachman, Elisha M

Wachman, Elisha M is an individual health care provider with primary practice located at 840 Harrison Ave Menino 3, Boston MA 02118-2905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Wachman, Elisha M can be contacted via phone (617) 414-4359.

Contact Information

Primary practice address
840 Harrison Ave Menino 3 Boston MA 02118-2905
Phone: (617) 414-4359
Fax: (617) 414-4361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 229416 Massachusetts
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 238930 Massachusetts

Profile Details

NPI number 1922263490
LBN Legal business name Wachman, Elisha M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Apr 23rd, 2014 - about 12 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 1922263490 NPPES
Massachusetts MEDICAID 110082310A

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