Individual
PAMELA D TEWARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 SPRING ST, WATERTOWN, MA 02472-3444
(617) 926-0114
(617) 926-7052
Mailing address
77 WARREN ST, RM 339, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
40269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187798
—
MA
Enumeration date
09/08/2005
Last updated
02/17/2009
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