Walter Panis MD

NPI 1588654859 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1588654859
Gender Male
Enumeration Date 10/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
125 NASHUA ST
SRH SPAULDING REHAB HOSPITAL
BOSTON MA, 02114-1101, US
Phone (617) 573-2628
Fax (617) 573-7119
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Toxanomy
Taxonomy Code 208100000X
License State Massachusetts
License Number 40760
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According to our database, Dr. Walter Panis MD NPI is 1588654859, taxonomy code is 208100000X and license number is 40760, license state is located at Massachusetts. Walter Panis MD physically located at 125 Nashua St, Boston MA, 02114-1101. NPI Number Walter Panis MD has the Individual type.

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1588654859 NPI number is provided on an as is basis without warranty of any kind. 1588654859 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Panis MD are for informational purposes only.