Theodore C Weatherwax, MD
NPI #1144882879 in Boston, Massachusetts
Provider Information
- NPI Number
- 1144882879
- Entity Type
- Individual
- Name
- Theodore C Weatherwax, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Addiction Medicine
- Credential
- MD
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Nov 23, 2022
Practice Location
- Address
- 55 FRUIT ST
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02114-2621
- Phone
- (617) 726-3557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Addiction Medicine — Addiction Medicine |
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|---|---|
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