Provider Demographics
NPI:1215948625
Name:WEBSTER, WARNIE L (MD)
Entity type:Individual
Prefix:
First Name:WARNIE
Middle Name:L
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2910
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-6910
Mailing Address - Country:US
Mailing Address - Phone:617-576-1894
Mailing Address - Fax:978-635-0510
Practice Address - Street 1:30 WARREN ST.
Practice Address - Street 2:FRANCISCAN HOSPITAL FOR CHILDREN
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3602
Practice Address - Country:US
Practice Address - Phone:617-576-1894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA412082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAB72525Medicare UPIN