Provider Demographics
NPI:1891773842
Name:PRICE, WILL J III (MD)
Entity Type:Individual
Prefix:
First Name:WILL
Middle Name:J
Last Name:PRICE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 STANIFORD ST
Mailing Address - Street 2:STE 600
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2517
Mailing Address - Country:US
Mailing Address - Phone:617-367-4800
Mailing Address - Fax:617-723-7028
Practice Address - Street 1:88 ANSEL HALLET RD
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673
Practice Address - Country:US
Practice Address - Phone:508-771-4848
Practice Address - Fax:508-775-4103
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2011-09-30
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Provider Licenses
StateLicense IDTaxonomies
MA29242207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3163245Medicaid
MAL15043OtherBCBS MA
MA767250OtherTUFTS HEALTH PLAN
MA767250OtherTUFTS HEALTH PLAN
MAL1504301Medicare PIN
MA3163245Medicaid
MAL15043Medicare ID - Type Unspecified
NX1536Medicare PIN