Provider Demographics
NPI:1972843357
Name:ED GEIGER ED D PC
Entity Type:Organization
Organization Name:ED GEIGER ED D PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:508-361-3644
Mailing Address - Street 1:5 FARM HILL RD
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1834
Mailing Address - Country:US
Mailing Address - Phone:508-883-9251
Mailing Address - Fax:
Practice Address - Street 1:165 MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1584
Practice Address - Country:US
Practice Address - Phone:508-361-3644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6279103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0524425Medicaid
MA0524425Medicaid