Individual
DR. PETER C. WARNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 FRANCIS ST, SUITE 3B, BOSTON, MA 02215-5501
(617) 632-9795
Mailing address
110 FRANCIS ST, SUITE 3B, BOSTON, MA 02215-5501
(617) 632-9795
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
230093
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230093
MA STATE MD LICENSE #
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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