Organization
ROBERT VAN WITTENBERGHE,MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JULES VAN WITTENBERGHE M.D. (PRESIDENT)
(781) 595-3003
Entity
Organization
Contact information
Practice address
330 LYNNWAY, SUITE 101, LYNN, MA 01901-1706
(781) 595-3003
(781) 593-0071
Mailing address
330 LYNNWAY, SUITE 101, LYNN, MA 01901-1706
(781) 595-3003
(781) 593-0071
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40259
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066874
—
MA
Enumeration date
08/09/2011
Last updated
08/09/2011
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