Organization
CNS CLINICIANS, PC
Active
Organization
CNS CLINICIANS, PC
Active
Other names
CNS Multispecialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PETER Q WARINNER MD (MEDICAL DIRECTOR)
(781) 237-0070
Entity
Organization
Contact information
Practice address
65 WALNUT ST, SUITE150, WELLESLEY, MA 02481-2118
(781) 237-0070
(781) 237-0090
Mailing address
65 WALNUT ST, SUITE 150, WELLESLEY, MA 02481-2118
(781) 237-0070
(781) 237-0090
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M21841
MEDICARE PTAN
MA
Enumeration date
12/14/2015
Last updated
01/15/2016
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