Robert Van Wittenberghe,md,llc

NPI 1114206000 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1114206000
Enumeration Date 08/09/2011
Last Updated 08/09/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT JULES ROBERT
Position PRESIDENT
Phone (781) 595-3003
Fax (781) 593-0071
Practice Location
330 LYNNWAY
SUITE 101
LYNN MA, 01901-1706, US
Phone (781) 595-3003
Fax (781) 593-0071
Business Location
330 LYNNWAY
SUITE 101
LYNN MA, 01901-1706, US
Phone (781) 595-3003
Fax (781) 593-0071
Toxanomy
Taxonomy Code 2084P0800X
License State Massachusetts
License Number 40259
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According to our database, Robert Van Wittenberghe,md,llc NPI is 1114206000, taxonomy code is 2084P0800X and license number is 40259, license state is located at Massachusetts. Robert Van Wittenberghe,md,llc physically located at 330 Lynnway, Lynn MA, 01901-1706. NPI Number 1033115704 has the healthcare provider type.

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1114206000 NPI number is provided on an as is basis without warranty of any kind. 1114206000 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Van Wittenberghe,md,llc are for informational purposes only.