Weisman, Evan B
Weisman, Evan B is an individual health care provider with primary practice located at 340 Wood Rd Ste 101 , Braintree MA 02184-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weisman, Evan B can be contacted via phone (781) 843-0705.Contact Information
Primary practice address
340 Wood Rd Ste 101
Braintree MA 02184-2404
Phone: (781) 843-0705
Fax: (781) 843-3809
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 156689 | Massachusetts |
Profile Details
NPI number | 1659304319 |
---|---|
LBN Legal business name | Weisman, Evan B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659304319 | NPPES |
Massachusetts | Other | BX8381 | MEDICARE PTAN |
Massachusetts | MEDICAID | 31910021 | MEDICARE PTAN |
Massachusetts | Other | A2904601 | MEDICARE PTAN |
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