Macomber, William W

Macomber, William W is an individual health care provider with primary practice located at 1 Widger Rd Ste 204, Marblehead MA 01945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Macomber, William W can be contacted via phone (781) 631-2577.

Contact Information

Primary practice address
1 Widger Rd Ste 204 Marblehead MA 01945
Fax: (781) 631-5405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45330 Massachusetts

Profile Details

NPI number 1033165717
LBN Legal business name Macomber, William W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 11th, 2007 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033165717 NPPES
Massachusetts MEDICAID 0116645

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