MEDICARE: DR. ROBERT LUDWIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	222836	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558368480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT LUDWIG MD

Provider Business Mailing Address
First Line	:	20 PATRIOT PL
Second Line	:
City	:	FOXBOROUGH
State	:	MA
Zip	:	02035-1375
Country	:	US
Telephone Number	:	508-718-4050
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 PATRIOT PL
Second Line	:
City	:	FOXBORO
State	:	MA
Zip	:	02035-1375
Country	:	US
Telephone Number	:	508-718-4050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/01/2019

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