Provider Demographics
NPI:1295796399
Name:WHITFIELD, WILLIAM A II (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:WHITFIELD
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:496 LYNNFIELD ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-1423
Mailing Address - Country:US
Mailing Address - Phone:781-593-3400
Mailing Address - Fax:
Practice Address - Street 1:496 LYNNFIELD ST
Practice Address - Street 2:SUITE 107
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-1423
Practice Address - Country:US
Practice Address - Phone:781-593-3400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60640207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology