Individual
DR. JOHN J WEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
39 CROSS ST STE 201, PEABODY, MA 01960-1666
(978) 854-5090
(978) 854-5755
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37856
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
37856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048949
—
MA
01
—
702997
TUFTS HEALTH PLAN
MA
01
—
M08930
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
04/09/2024
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