Organization
EARLE G. WOODMAN, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARLE G. WOODMAN MD (PRESIDENT)
(781) 453-3069
Entity
Organization
Contact information
Practice address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-3069
(781) 453-3660
Mailing address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-3069
(781) 453-3660
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
26212
MA
261QP2300X
Primary Care Clinic/Center
Primary
26212
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026212
TUFTS
—
01
—
66308
HARVARD PILGRIM
—
05
—
9750011
—
MA
01
—
C16037
BLUE CROSS/BLUE SHIELD
—
01
—
M18953
BLUE CROSS/BLUE SHIELD
—
Enumeration date
03/05/2008
Last updated
03/05/2008
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