Individual provider · Type 1 NPI

Jack Wittenberg, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1245221894 Active

Practice location

55 Fruit St, Fnd 2
Boston, MA 02114-2621

Fax (617) 726-4891

Mailing address

PO Box 9142
Charlestown, MA 02129-9142

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X28711 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1245221894

Jack Wittenberg, MD's National Provider Identifier is 1245221894, issued on Nov 2, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Aug 30, 2012.