Witkin, Andre J

Witkin, Andre J is an sole proprietor health care provider with primary practice located at 800 Washington St Box 450, Boston MA 02111-1552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Witkin, Andre J can be contacted via phone (917) 647-3829.

Contact Information

Primary practice address
800 Washington St Box 450 Boston MA 02111-1552
Phone: (917) 647-3829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 250825 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD439612 Pennsylvania
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 15686 New Hampshire
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 250825 Massachusetts

Profile Details

NPI number 1285811216
LBN Legal business name Witkin, Andre J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2008
Last updated May 11th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285811216 NPPES
Massachusetts MEDICAID 110093174A
Massachusetts MEDICAID 3081668

Popular Providers