Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THEODORE C WEATHERWAX, MD
ActiveTHEODORE C WEATHERWAX, MD is a Addiction Medicine (Family Practice) healthcare provider located in BOSTON, Massachusetts. NPI 1144882879 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · BOSTON, MA
Registration Details
- NPI Number
- 1144882879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2019 (7.0778299556233 yrs)
- Last Updated
- Nov 23, 2022
- Licenses
-
MDRE.ML.60958797 (WA)291350 (MA)
Practice Information
- Address
-
55 FRUIT STBOSTON, MA, 021142621Browse MA providers · Browse ZIP 02114
- Phone
- 6177263557
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Other Addiction Medicine (Family Practice) Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| DAVID M GUNTHER | M.D. | 1467426536 |
| AWAH-LEM ATANGA MCCORMICK | MD | 1699395004 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.