| Dr Jack Wittenberg, MD | |
| 
					55 Fruit St, Fnd 2, Boston, MA 02114-2621  | |
| (617) 726-8396 | |
| (617) 726-4891 | 
| Full Name | Dr Jack Wittenberg | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 55 Fruit St, Boston, Massachusetts | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245221894 | NPI | - | NPPES | 
| 0194255 | Medicaid | MA | |
| 725096 | Other | MA | TUFTS HEALTH PLAN | 
| M07089 | Other | MA | BCBS MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28711 (Massachusetts) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jack Wittenberg, MD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 726-8380  | Dr Jack Wittenberg, MD 55 Fruit St, Fnd 2, Boston, MA 02114-2621 Ph: (617) 726-8396  | 
Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248  | |
Justin Sardi, MD Radiology Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000  | |
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000  | |
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004  | |
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260  | |
Raymond W Liu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079  | |
Dr. Hillary R. Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114 Phone: 617-726-8320 Fax: 617-724-3338  |