Tewarson, Pamela D

Tewarson, Pamela D is an individual health care provider with primary practice located at 40 Spring St , Watertown MA 02472-3444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Tewarson, Pamela D can be contacted via phone (617) 926-0114.

Contact Information

Primary practice address
40 Spring St Watertown MA 02472-3444
Fax: (617) 926-7052
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 40269 Massachusetts

Profile Details

NPI number 1821082652
LBN Legal business name Tewarson, Pamela D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 17th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821082652 NPPES
Massachusetts MEDICAID 0187798

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