Individual
TORSTEN W WIEGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Mailing address
50 STANIFORD ST, SUITE 600, BOSTON, MA 02114-2517
(617) 367-4800
(617) 723-7028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
218077
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
227892
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073957A
—
MA
Enumeration date
03/16/2006
Last updated
12/20/2021
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