Individual
LAURENCE STEVEN WOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 QUINCY AVENUE, BROCKTON, MA 02302
(508) 587-5252
(508) 427-4318
Mailing address
166 QUINCY AVENUE, BROCKTON, MA 02302
(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
05
—
2032937
—
MA
01
—
708384
TUFTS
MA
01
—
C20209
BCBS
MA
Enumeration date
05/19/2006
Last updated
03/28/2016
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