Individual
DR. ANDY H PORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 GROVE ST, WORCESTER, MA 01605-3908
(508) 754-0700
(508) 831-9989
Mailing address
205 GARDNER ROAD, BROOKLINE, MA 02445
(617) 739-3647
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024181
—
MA
Enumeration date
12/11/2006
Last updated
07/08/2007
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