Individual provider · Type 1 NPI

Theodore C. Weatherwax, MD

Addiction Medicine (Family Medicine) Physician · Boston, MA

NPI number 1144882879 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Call (617) 726-3557 Map

Mailing address

2209 E 32nd St
Tacoma, WA 98404-4922

Other practice locations

  • 2209 E 32nd St, Tacoma, WA 98404-4922 · (253) 593-0232

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XMDRE.ML.60958797 (WA)
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X291350 (MA)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

4,783 other providers at this address

Other addiction medicine (family medicine) physician providers in Boston

See all in Boston →

About NPI 1144882879

Theodore C. Weatherwax, MD's National Provider Identifier is 1144882879, issued on Jul 2, 2019. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Boston, MA. The record was last updated on Nov 23, 2022.