Individual
MICHAEL S WHITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46195
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015154
NEIGHBORHOOD HEALTH
MA
01
—
046195
TUFTS
MA
05
—
3029646
—
MA
01
—
B10475702
CIGNA
MA
01
—
J10515
BLUE CROSS
MA
01
—
PP429
HARVARD PILGRIM
MA
Enumeration date
01/23/2006
Last updated
03/08/2021
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