Organization
LARRY A WEINRAUCH MD PC
Active
Organization
LARRY A WEINRAUCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY A WEINRAUCH MD (PRESIDENT)
(617) 923-0800
Entity
Organization
Contact information
Practice address
521 MOUNT AUBURN ST, SUITE 204, WATERTOWN, MA 02472-4191
(617) 923-0800
(617) 926-5665
Mailing address
521 MOUNT AUBURN ST, SUITE 204, WATERTOWN, MA 02472-4191
(617) 923-0800
(617) 926-5665
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35819
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035819
MASS LICENSE
MA
05
—
2033704
—
MA
Enumeration date
05/28/2007
Last updated
04/20/2008
Update your record
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