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Dr. Walter Cary Letien
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Walter Cary Letien |
| Gender: | M |
| Provider License Number If Given: | 123 |
NPI Information:
| NPI: | 1023011061 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 5/23/2005 |
| Last Update Date: | 7/9/2007 |
Provider Business Mailing Address:
| Address: | 266 CABOT ST P.O. BOX 488 Beverly, MA 01915 |
| Phone Number: | 9789221888 |
| Fax Number: | 9789274608 |
Provider Business Practice Location Address:
| Address: | 266 CABOT ST SUITE 3 Beverly, MA 01915 |
| Phone Number: | 9789221888 |
| Fax Number: | 9789274608 |
Provider Taxonomy:
| Primary: | 231H00000X |
| Secondary (if any): | 237600000X |
| State: | MA |
