Individual
HEIDI WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
840 HARRISON AVE, MENINO 1, BOSTON, MA 02118-2905
(617) 414-4991
(617) 414-4999
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
239178
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
239178
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088538A
—
MA
Enumeration date
08/28/2007
Last updated
05/09/2014
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