Search › Massachusetts › 207QA0401X
Theodore Weatherwax, MD
NPI 1144882879 · on the registry since 2019
Practice
- Address
- 55 Fruit St
Boston, MA 02114 - Phone
- (617) 726-3557
- Organisation at this address
- Mgh
Mgpo
Leanne Miller
Brandon Law, Md
Dennis W Burke Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5,283
Additional practice sites
- 2209 E 32nd St, Tacoma, WA
Registry record
- Primary taxonomy
- 207QA0401X
207QA0401X
- Also registered as
- 207Q00000X
- Licence states on file
- WA, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts