William A Pultar, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

234093 Issued in MA

Practice address

103 Millbury St
Auburn, MA 01501-3205

Phone

(508) 721-4100

Fax

(508) 721-4124

NPI assigned

Oct 24, 2007

Last updated

Jan 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1326227570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MILLBURY ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015013205",
            "telephone_number": "508-721-4100",
            "fax_number": "508-721-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULTAR",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health Systems Inc
• Prime Veteran Assessment Services LLC
• Oksana Primmer, MD
• Nancy Prostak
• Jayme A Protano
• Quest Diagnostics Massachusetts LLC
• Meaghan S. Quinn, LICSW
• Cristiana Racenet, MA CCC-SLP
• E Darren Racht, PAC.
• Lauren Germaine Racine

• Internal Medicine Physician in Auburn, MA
• Providers in Auburn, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.