THEODORE C WEATHERWAX MD
Individual Provider (NPI-1)
Active
Family Medicine, Addiction Medicine
Provider Information
- NPI Number
1144882879- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 55 FRUIT ST, BOSTON, MA, 021142621
- Phone
- (617) 726-3557
Specialties & Taxonomies
Family Medicine
License: WA #MDRE.ML.60958797
Family Medicine, Addiction Medicine
Primary License: MA #291350