Warner V Slack M.D.

NPI 1003959495 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1003959495
Gender Male
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
BIDMC-CTR FOR CLIN COMP
330 BROOKLINE AVENUE
BOSTON MA, 02215, US
Phone (617) 667-1511
Fax
Business Location
BETH ISRAEL MED CTR-CLINICAL COMP.
330 BROOKLINE AVE.
BOSTON MA, 02215, US
Phone (617) 667-1511
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Massachusetts
License Number 33806
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According to our database, Warner V Slack M.D. NPI is 1003959495, taxonomy code is 2084N0400X and license number is 33806, license state is located at Massachusetts. Warner V Slack M.D. physically located at Bidmc-ctr For Clin Comp, Boston MA, 02215. NPI Number Warner V Slack M.D. has the Individual type.

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1003959495 NPI number is provided on an as is basis without warranty of any kind. 1003959495 is maintained by the National Plan & Provider Enumeration System. The contents of Warner V Slack M.D. are for informational purposes only.