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:
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Health care specialties

SpecialtyCodeLicense #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 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 1659304319 NPPES
Massachusetts Other BX8381 MEDICARE PTAN
Massachusetts MEDICAID 31910021 MEDICARE PTAN
Massachusetts Other A2904601 MEDICARE PTAN

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