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Individual

DR. EDWARD A BITTNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
55 FRUIT ST, CLN 3, BOSTON, MA 02114-2621
(617) 726-2273
(617) 726-7536
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
212546
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
212546
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0169340
MA
01
212545
TUFTS HEALTH PLAN
MA
01
J24763
BCBS MA
MA
Enumeration date
12/09/2005
Last updated
09/11/2025
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