Individual
DR. NICHOLAS A WEIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Mailing address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
(978) 681-5963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
264795
MA
207Q00000X
Family Medicine Physician
ML60293491
WA
Other
Enumeration date
06/05/2012
Last updated
10/02/2015
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