Weisman, Thomas Owen
Weisman, Thomas Owen is an individual health care provider with primary practice located at 76 Summer St Suite 230, Fitchburg MA 01420-5783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Weisman, Thomas Owen can be contacted via phone (978) 342-6018.Contact Information
Primary practice address
76 Summer St Suite 230
Fitchburg MA 01420-5783
Phone: (978) 342-6018
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56403 | Massachusetts |
Profile Details
| NPI number | 1366433617 |
|---|---|
| LBN Legal business name | Weisman, Thomas Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Mar 1st, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366433617 | NPPES |
| Massachusetts | Other | 23042 | HARVARD PILGRIM |
| Massachusetts | Other | 5596307 | HARVARD PILGRIM |
| Massachusetts | Other | 0403482 | HARVARD PILGRIM |
| Massachusetts | Other | 14160 | HARVARD PILGRIM |
| Massachusetts | Other | 2592101 | HARVARD PILGRIM |
| Massachusetts | MEDICAID | 3025802 | HARVARD PILGRIM |
| Massachusetts | Other | 056403 | HARVARD PILGRIM |
| Massachusetts | Other | J06665 | HARVARD PILGRIM |
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