Individual
DAVID WARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 MAIN ST, STE. # 5, SPRINGFIELD, MA 01107-1142
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST, STE. # 5, SPRINGFIELD, MA 01107-1142
(413) 733-9600
(413) 732-6534
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
14398
NH
207N00000X
Dermatology Physician
Primary
242901
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49282
HNE
MA
01
—
7048969
CIGNA
MA
01
—
753392
TUFTS
MA
01
—
892633
CONNECTICARE
MA
Enumeration date
04/16/2007
Last updated
11/18/2010
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