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Contact Information

AMY G WIEGANDT, MD
2621 CRANBERRY HIGHWAY
WAREHAM, MA02571
 Phone: 508-295-4902
 Fax: 508-295-2455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AMY G WIEGANDT · (Female)

NPI Number 1285692525
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2006
Last updated 01/18/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 57120
  • MA Medicaid 3032736
  • MA Other 61516 HARVARD PILGRAM
  • MA Other 110206873 MEDICARE RAILROAD
  • MA Other 754275 TUFTS HLTH PLAN
Hospital affiliation(s)
  • JORDAN HOSPITAL INC - (Acute Care)
    275 SANDWICH STREET
    PLYMOUTH, MA 02360
  • SOUTHCOAST HOSPITAL GROUP INC - (Acute Care)
    363 HIGHLAND AVENUE
    FALL RIVER, MA 02720
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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