Individual
MARY ATHENA WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS STREET, RADIOLOGY BRIGHAM & WOMEN'S HOSPITAL, BOSTON, MA 02115
(617) 732-6280
Mailing address
75 FRANCIS STREET, RADIOLOGY BRIGHAM & WOMEN'S HOSPITAL, BOSTON, MA 02115
(617) 732-6280
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
011971
ME
2085R0202X
Diagnostic Radiology Physician
Primary
226890
MA
2085U0001X
Diagnostic Ultrasound Physician
011971
ME
2085U0001X
Diagnostic Ultrasound Physician
226890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114836
—
MA
01
—
494541
TUFTS HEALTH CARE
MA
01
—
J29777
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/31/2006
Last updated
09/12/2012
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