Theodore C Weatherwax, MD is an addiction medicine family medicine in Boston, MA with 6 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Theodore C Weatherwax, MD NPI is 1144882879. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:2018
The provider's business location address is:
55 FRUIT ST
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-3557
The NPI 1144882879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/2/2019 and was last updated on 11/23/2022.