Individual
DR. KELLEY ANNE WITTBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4100
Mailing address
55 FRUIT STREET, DEPT. OF EMERGENCY MEDICINE - FOUNDERS 110, BOSTON, MA 02114
(617) 724-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
273256
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
02/06/2019
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