Organization
LAURENCE S. WOHL, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE STEVEN WOHL M.D. (OWNER)
(508) 587-5252
Entity
Organization
Contact information
Practice address
166 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 587-5252
(508) 427-4318
Mailing address
166 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 587-5252
(508) 427-4318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34264
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891749669
NPI-INDIVIDUAL ID NUMBER
MA
05
—
2032937
—
MA
01
—
6055
HARVARDPILGRIM
MA
01
—
708384
TUFTS
MA
01
—
C20209
BLUE SHIELD-INDIVIDUAL ID
MA
Enumeration date
03/20/2007
Last updated
03/28/2016
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