Wolckenhaar, Marten H

Wolckenhaar, Marten H is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wolckenhaar, Marten H can be contacted via phone (781) 744-8132.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001
Phone: (781) 744-8132
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 208880 Massachusetts

Profile Details

NPI number 1881651099
LBN Legal business name Wolckenhaar, Marten H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 23rd, 2011 - about 13 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 1881651099 NPPES
Massachusetts MEDICAID 110006476A

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