Individual
ELEANOR C PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1153 CENTRE ST, SUITE 5790, BOSTON, MA 02130-3446
(617) 522-0008
(617) 522-2587
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6364
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
81274
MA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
81274
MA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
81274
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
81274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3145387
—
MA
Enumeration date
07/13/2005
Last updated
10/04/2011
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