Elisha M Wachman
MD | Pediatric Neonatal-Perinatal Medicine | Female
Elisha M Wachman, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Elisha M Wachman is
840 Harrison Ave, Menino 3, Boston, Massachusetts - 02118-2905. She can be contacted on phone at
617-414-4359 and fax number 617-414-4361.
Elisha M Wachman is a sole proprietor of her business.
NPI number (Unique professional ID) for Elisha M Wachman is
1922263490 which was assigned by NPPES on 24 Jul, 2008 and it was last updated on 23 Apr, 2014.
Elisha M Wachman license number is
238930 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Massachusetts.
Elisha M Wachman is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Elisha M Wachman basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Elisha M Wachman |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elisha M Wachman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 840 Harrison Ave, Menino 3
Boston, MA, 02118-2905
United States |
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| Phone Number : | 617-414-4359 |
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| Fax Number : | 617-414-4361 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1922263490 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2008 |
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| Last Updated On : | 23 Apr, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elisha M Wachman are as mentioned. Primary taxonomy code for Elisha M Wachman, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 229416 | MA |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 238930 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Elisha M Wachman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 110082310A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 720 Harrison Ave, Dob 503
Boston, MA, 02118-2371
United States |
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Business Location:
Patients can refer following map for directions to
Elisha M Wachman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.