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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 13 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 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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