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Organization

WIWAT, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL J WITKOWSKI M.D. (PRESIDENT)
(781) 245-1223
Entity
Organization

Contact information

Practice address
10 RICHARDSON AVE, UNIT A, WAKEFIELD, MA 01880-2913
(781) 245-1223
Mailing address
10 RICHARDSON AVE, UNIT A, WAKEFIELD, MA 01880-2913
(781) 245-1223

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
76869
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110053491A
MA
Enumeration date
03/29/2012
Last updated
03/29/2012
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