Individual
MURRAY WATNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
(617) 421-6084
Mailing address
147 MILK ST, PROVIDER ENROLLMENT DEPARTMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
29482
MA
2085R0202X
Diagnostic Radiology Physician
Primary
29482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022310
NEIGHBORHOOD HEALTH PLAN
MD
01
—
029482
TUFTS HEALTH PLAN
MA
01
—
1555154-003
CIGNA
MA
01
—
1555154-003
HEALTHSOURCE
MD
05
—
2026147
—
MA
01
—
F19010
BLUE CROSS
MA
01
—
R230
HARVARD PILGRIM
MA
Enumeration date
07/28/2006
Last updated
09/11/2025
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