Provider Demographics
NPI:1740268473
Name:WITTE, JANET MELISSA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:MELISSA
Last Name:WITTE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:42 OBER ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4733
Mailing Address - Country:US
Mailing Address - Phone:857-523-0678
Mailing Address - Fax:617-724-3028
Practice Address - Street 1:264 BEACON ST
Practice Address - Street 2:FL. 1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-1236
Practice Address - Country:US
Practice Address - Phone:617-247-1959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2274902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry