| Ed Geiger Ed D Pc | |
|
165 Main St Suite 106 Medway MA 02053-1584 | |
| (508) 361-3644 | |
| Not Available |
| Full Name | Ed Geiger Ed D Pc |
|---|---|
| Speciality | Psychologist |
| Location | 165 Main St, Medway, Massachusetts |
| Authorized Official Name and Position | Edwin Geiger (PRESIDENT) |
| Authorized Official Contact | 5083613644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ed Geiger Ed D Pc 5 Farm Hill Rd Wrentham MA 02093-1834 Ph: (508) 883-9251 | Ed Geiger Ed D Pc 165 Main St Suite 106 Medway MA 02053-1584 Ph: (508) 361-3644 |
| NPI Number | 1972843357 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 5890931950 |
|---|---|
| Medicare Enrollment ID | O20130415000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972843357 | NPI | - | NPPES |
| 0524425 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6279 (Massachusetts) | Primary |
| Provider Name | Edwin L Geiger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699730838 PECOS PAC ID: 5395770812 Enrollment ID: I20051003000786 |
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