Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 73691 | MA |
NPI | 1669430526 |
---|---|
Provider Name | Alan A Wartenberg |
First Address | Attleboro, MA 02703-1613 |
Second Address | Attleboro, MA 02703-1613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 20/04/2016 |