Individual
BRIAN S WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 LINCOLN ST, STE 209, FRAMINGHAM, MA 01702-8264
(508) 370-8003
(508) 879-4502
Mailing address
460 TOTTEN POND RD, WALTHAM, MA 02451-1906
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
78301
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078301
TUFTS
MA
05
—
3118321
—
MA
01
—
801716
HPHC
MA
01
—
J30156
BCBS
MA
Enumeration date
11/10/2005
Last updated
02/26/2010
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