Individual
DR. ANTHONY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 812, BOSTON, MA 02114-3117
(617) 724-6300
(617) 726-7541
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-0519
(617) 726-7541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
157529
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3208150
—
MA
01
—
I57529
TUFTS HEALTH PLAN
MA
01
—
J22253
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
09/07/2012
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