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Theodore C Weatherwax, MD
Addiction Medicine (Family Medicine) Physician in Boston, Massachusetts
NPI 1144882879

Theodore C Weatherwax is an Addiction Medicine (Family Medicine) Physician based in Tacoma, MA and is specialized in Addiction Medicine. Theodore C Weatherwax practices in Boston, MA and has the professional credentials of MD. The NPI Number for Theodore C Weatherwax is 1144882879 and holds a License No. MDRE.ML.60958797 (Massachusetts).

The current practice location address for Theodore C Weatherwax is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-3557.

Location: 55 Fruit St, Boston, MA, 98404-4922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144882879
Provider Name
Theodore C Weatherwax
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 98404-4922
Phone Number
617-726-3557
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-726-3557
Fax Number
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-726-3557
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
291350 (Massachusetts)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
MDRE.ML.60958797 (Washington)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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