Individual
MRS. CHERI NICOLE MELSAETHER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 WHITWELL ST, QUINCY, MA 02169-1870
(617) 376-5549
Mailing address
114 WHITWELL STREET, QUINCY, MA 02169
(617) 376-5549
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
243528
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086534A
—
MA
01
—
AA186496
HARVARD PILGRIM
MA
Enumeration date
09/26/2008
Last updated
10/13/2010
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