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Individual
THOMAS OWEN WEISMAN
Active
Individual
THOMAS OWEN WEISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56403
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403482
UNITED HEALTHCARE
MA
01
—
056403
TUFTS
MA
01
—
14160
FALLON
MA
01
—
23042
HARVARD PILGRIM
MA
01
—
2592101
AETNA/US HEALTHCARE
MA
05
—
3025802
—
MA
01
—
5596307
CIGNA
MA
01
—
J06665
BLUECROSS
MA
Enumeration date
11/03/2005
Last updated
03/01/2011
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