Provider Demographics
NPI:1770571481
Name:WEISS, JAMES WOODROW (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:WOODROW
Last Name:WEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:25 WILSONDALE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2260
Mailing Address - Country:US
Mailing Address - Phone:617-667-4895
Mailing Address - Fax:617-667-1604
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:GZ 405
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-4895
Practice Address - Fax:617-667-1604
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA41223207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease