Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAD J WIECZOREK, M.D.
ActiveDR. TAD J WIECZOREK, M.D. is a Cytopathology healthcare provider located in JAMAICA PLAIN, Massachusetts. NPI 1225092075 is currently active in the NPPES registry. Verify at CMS.
Cytopathology · JAMAICA PLAIN, MA
Registration Details
- NPI Number
- 1225092075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2006 (20.342786782008 yrs)
- Last Updated
- Dec 9, 2010
- License
-
160676 (MA)
Practice Information
- Address
-
1153 CENTRE STDEPT OF PATHOLOGY, FAULKNER HOSPITALJAMAICA PLAIN, MA, 021303446Browse MA providers · Browse ZIP 02130
- Phone
- 6179837666
- Fax
- 6179837736
- Primary Specialty
-
Cytopathology
207ZC0500X
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.