Individual
ARIANA M. WITKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE., 4TH YACC, BOSTON, MA 02118
(617) 414-4363
(617) 499-5103
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02118
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
276725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110146235A
—
MA
Enumeration date
03/23/2015
Last updated
04/17/2024
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