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1245221894
JACK WITTENBERG
BOSTON, MA
NPI
1245221894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MA 28711)
Enumeration Date
2005-11-02
Last Update Date
2012-08-30
Business Address
DR. JACK WITTENBERG MD
55 FRUIT ST FND 2
BOSTON, MA 02114-2621
Phone number: 617-726-8396
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Mailing Address
DR. JACK WITTENBERG MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-726-8380
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