Doctor Name: | WILFRID GERARD PITTS |
NPI Number: | 1629131701 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 41247 |
Business Practice Address: | 10 Winthrop St Worcester, MA - 01604 |
Business Phone Number: | 5087575552 |
Business Fax Number: | |
Mailing Address: | 5 Linda Ave, AUBURN |
State: | MA |
Postal Code: | 01501 |
Phone Number: | 5088323306 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 41247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |