Organization
SUZANNE WEISS DBA WORCESTER PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M WEISS M.D. (OWNER)
(508) 363-9530
Entity
Organization
Contact information
Practice address
123 SUMMER ST, SUITE 690, WORCESTER, MA 01608-1216
(508) 363-9530
(508) 363-9535
Mailing address
123 SUMMER ST, SUITE 690, WORCESTER, MA 01608-1216
(508) 363-9530
(508) 363-9535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600568
TUFTS
MA
01
—
8674
FALLON
MA
01
—
9300
AETNA
MA
05
—
9786597
—
MA
01
—
99840701
NETWORK HEALTH
MA
01
—
M15694
BLUE CROSS
MA
Enumeration date
05/17/2007
Last updated
08/22/2020
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