Provider Demographics
NPI:1134397912
Name:WESTIN, ERIC HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HENRY
Last Name:WESTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 LANDSDOWNE ST
Mailing Address - Street 2:TAKEDA PHARMACEUTICALS INTERNATIONAL CO
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4234
Mailing Address - Country:US
Mailing Address - Phone:617-761-4774
Mailing Address - Fax:
Practice Address - Street 1:40 LANDSDOWNE ST
Practice Address - Street 2:TAKEDA PHARMACEUTICALS INTERNATIONAL CO
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4234
Practice Address - Country:US
Practice Address - Phone:617-761-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055964207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B08836Medicare UPIN