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
Fax: (617) 254-5539
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528117173 NPPES
Massachusetts MEDICAID 6189776

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