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Individual

WAYNE TWORETZKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6793
Mailing address
91 STILES RD, SALEM, NH 03079-5804
(603) 893-9784
(603) 890-1236

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
160107
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003114064
CT
05
207488602
MO
05
2220400
NY
05
30201476
NH
05
3202780
MA
05
89651332
CO
05
WT45410
RI
Enumeration date
10/31/2005
Last updated
03/10/2010
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