| Jasmine Witkowski, Pc | |
|
28 Riverside Dr Pembroke MA 02359-4947 | |
| (774) 766-7986 | |
| Not Available |
| Full Name | Jasmine Witkowski, Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 28 Riverside Dr, Pembroke, Massachusetts |
| Authorized Official Name and Position | Jasmine N Witkowski (PRESIDENT) |
| Authorized Official Contact | 7747667986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Witkowski, Pc 3 Briar Path Way Carver MA 02330-1350 Ph: (774) 766-7986 | Jasmine Witkowski, Pc 28 Riverside Dr Pembroke MA 02359-4947 Ph: (774) 766-7986 |
| NPI Number | 1255005484 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255005484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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