| Laurence S. Wohl, M.d.p.c. | |
|
166 Quincy Ave Brockton MA 02302-2803 | |
| (508) 587-5252 | |
| (508) 427-4318 |
| Full Name | Laurence S. Wohl, M.d.p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 166 Quincy Ave, Brockton, Massachusetts |
| Authorized Official Name and Position | Laurence Steven Wohl (OWNER) |
| Authorized Official Contact | 5085875252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence S. Wohl, M.d.p.c. 166 Quincy Ave Brockton MA 02302-2803 Ph: (508) 587-5252 | Laurence S. Wohl, M.d.p.c. 166 Quincy Ave Brockton MA 02302-2803 Ph: (508) 587-5252 |
| NPI Number | 1285759266 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285759266 | NPI | - | NPPES |
| 2032937 | Medicaid | MA | |
| 708384 | Other | MA | TUFTS |
| C20209 | Other | MA | BLUE SHIELD-INDIVIDUAL ID |
| 1891749669 | Other | MA | NPI-INDIVIDUAL ID NUMBER |
| 6055 | Other | MA | HARVARDPILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34264 (Massachusetts) | Primary |
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