MEDICARE: WILLIAM J. MCLAUGHLIN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	44288	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	:	1629069810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM J. MCLAUGHLIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 415348
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-5348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 MILLBURY ST
Second Line	:	DEPARTMENT OF GYNECOLOGY
City	:	AUBURN
State	:	MA
Zip	:	01501-3205
Country	:	US
Telephone Number	:	508-721-4100
Fax Number	:

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	03/03/2016

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