Organization
THEODORE P. WASIK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE P. WASIK M.D. (PSYCHIATRIST)
(267) 251-0756
Entity
Organization
Contact information
Practice address
1679 MASSACHUSETTS AVE, FIRST FLOOR, CAMBRIDGE, MA 02138-1877
(267) 251-0756
Mailing address
1679 MASSACHUSETTS AVE, FIRST FLOOR, CAMBRIDGE, MA 02138-1877
(267) 251-0756
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
243789
MA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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