Basic Information
Provider Information
NPI: 1376980128
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRESS
FirstName: WHITNEY
MiddleName: LEIGH MCGIFFIN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 15 ABBOTT RD
Address2:  
City: DOVER
State: MA
PostalCode: 020301807
CountryCode: US
TelephoneNumber: 2404010906
FaxNumber:  
Practice Location
Address1: 978 WORCESTER ST FL 2
Address2:  
City: WELLESLEY
State: MA
PostalCode: 024823709
CountryCode: US
TelephoneNumber: 7812355200
FaxNumber: 7812351103
Other Information
ProviderEnumerationDate: 06/03/2013
LastUpdateDate: 09/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X256586MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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