| Robert Van Wittenberghe,md,llc | |
|
330 Lynnway Suite 101 Lynn MA 01901-1706 | |
| (781) 595-3003 | |
| (781) 593-0071 |
| Full Name | Robert Van Wittenberghe,md,llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 330 Lynnway, Lynn, Massachusetts |
| Authorized Official Name and Position | Robert Jules Van Wittenberghe (PRESIDENT) |
| Authorized Official Contact | 7815953003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Van Wittenberghe,md,llc 330 Lynnway Suite 101 Lynn MA 01901-1706 Ph: (781) 595-3003 | Robert Van Wittenberghe,md,llc 330 Lynnway Suite 101 Lynn MA 01901-1706 Ph: (781) 595-3003 |
| NPI Number | 1114206000 |
|---|---|
| Provider Enumeration Date | 08/09/2011 |
| Last Update Date | 08/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114206000 | NPI | - | NPPES |
| 2066874 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 40259 (Massachusetts) | Primary |
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