Individual
DR. FERN WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
78854
MA
207NP0225X
Pediatric Dermatology Physician
78854
MA
207NS0135X
Procedural Dermatology Physician
Primary
78854
MA
207R00000X
Internal Medicine Physician
78854
MA
Other
Enumeration date
10/11/2005
Last updated
01/08/2021
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