Theodore P Wasik, MD
Psychiatry & Neurology, Psychiatry in Lexington, Massachusetts
1003025776- Practice location
- 1632 Massachusetts Ave, Lexington, MA 02420-3802
- Phone
- 617-470-1805
- Fax
- 781-496-1042
- Last updated
- April 24, 2025
Theodore Peter Wasik is a Psychiatry & Neurology, Psychiatry based in Lexington, MA. Theodore Peter Wasik practices in Lexington, MA and has the professional credentials of MD. The NPI Number for Theodore Peter Wasik is 1003025776 and holds a License No. 243789 (MA). The current practice location address for Theodore Peter Wasik is 1632 Massachusetts Ave, Lexington, MA 02420-3802 and can be reached out via phone at 617-470-1805 and via fax at 781-496-1042.
Provider Profile Details
- NPI Number
- 1003025776
- Provider Name
- Theodore Peter Wasik
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1632 Massachusetts Ave, Lexington, MA 02420-3802
- Phone Number
- 617-470-1805
- Fax Number
- 781-496-1042
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 21, 2007
- Last Update Date
- April 24, 2025
- Certification Date
- April 24, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1632 Massachusetts Ave
Lexington, MA 02420-3802 - City
- Lexington
- State
- Massachusetts
- Zip
- 02420-3802
- Phone Number
- 617-470-1805
- Fax Number
- 781-496-1042
Provider Business Mailing Address Details
- Address
- 8 Ayer RD
Harvard, MA 01451-1408 - City
- Harvard
- State
- MA
- Zip
- 01451-1408
- Phone Number
- 617-470-1805
- Fax Number
- 781-496-1042
License Information
- License Number
- 243789
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Theodore P Wasik, MD?
The NPI number of Theodore P Wasik, MD is 1003025776. It was assigned on May 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Theodore P Wasik, MD?
Theodore P Wasik, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 243789.
Where does Theodore P Wasik, MD practice?
The practice location is 1632 Massachusetts Ave, Lexington, MA 02420-3802. The office can be reached at 617-470-1805 (phone) or 781-496-1042 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003025776 directly on the NPPES registry website.