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Individual

REBECCA M WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
61 LINCOLN ST, SUITE 101, FRAMINGHAM, MA 01702-8264
(508) 820-1650
Mailing address
61 LINCOLN ST, SUITE 101, FRAMINGHAM, MA 01702-8264

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
76585
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3153568
MA
Enumeration date
08/03/2005
Last updated
09/27/2011
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