Warner, Mary Athena

Warner, Mary Athena is an individual health care provider with primary practice located at 75 Francis Street Radiology Brigham & Women'S Hospital, Boston MA 02115. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Warner, Mary Athena can be contacted via phone (617) 732-6280.

Contact Information

Primary practice address
75 Francis Street Radiology Brigham & Women'S Hospital Boston MA 02115
Phone: (617) 732-6280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 226890 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 011971 Maine
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 226890 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 011971 Maine

Profile Details

NPI number 1366403149
LBN Legal business name Warner, Mary Athena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 12th, 2012 - about 12 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 1366403149 NPPES
Massachusetts MEDICAID 2114836
Massachusetts Other 494541
Massachusetts Other J29777

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