Pittel, Elliot M
Pittel, Elliot M is an individual health care provider with primary practice located at 77 Warren St Building #9 C Hildrens Collaborative, Brighton MA 02135-3601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pittel, Elliot M can be contacted via phone (617) 254-0964.Contact Information
Primary practice address
77 Warren St Building #9 C Hildrens Collaborative
Brighton MA 02135-3601
Phone: (617) 254-0964
Fax: (617) 254-5539
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 53914 | Massachusetts |
Profile Details
NPI number | 1528117173 |
---|---|
LBN Legal business name | Pittel, Elliot M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Jul 16th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528117173 | NPPES |
Massachusetts | MEDICAID | 6189776 |
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