Individual
MRS. MARY DOROTHY WITKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
130 MARSHALL RD, LOWELL, MA 01852-5130
(978) 671-9000
(978) 671-9104
Mailing address
130 MARSHALL RD, LOWELL, MA 01852-5130
(978) 671-9000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
182773
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
182773
MA
Other
Enumeration date
05/28/2006
Last updated
03/25/2026
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