THEODORE WEATHERWAX, MD

MD

Addiction Medicine (Family Medicine) Physician

NPI: 1144882879IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine Physician

Family Medicine

Code: 207Q00000X

MDRE.ML.60958797(WA)

Addiction Medicine (Family Medicine) PhysicianPrimary

Family Medicine — Addiction Medicine

Code: 207QA0401X

291350(MA)

CMS Specialties

PrimaryFAMILY PRACTICE

Additional

ADDICTION MEDICINE

Education

UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE

Class of 2018

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Contact & Hours

Via practice · 2 locations total

Address: 55 FRUIT ST
BOSTON, MA 02114
Phone: (617) 726-3557

Locations (2)

Practice Location

55 FRUIT ST, BOSTON, MA

Practice Location

2209 E 32ND ST, TACOMA, WA

Quick Facts

NPI: 1144882879
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 8

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