Provider Demographics
NPI:1932180957
Name:WEIL, THOMAS R (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:WEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:22 ATWOOD DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4272
Mailing Address - Country:US
Mailing Address - Phone:413-570-4900
Mailing Address - Fax:
Practice Address - Street 1:22 ATWOOD DR
Practice Address - Street 2:SUITE 301
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4272
Practice Address - Country:US
Practice Address - Phone:413-570-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50111207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA050111OtherTUFTS
MA17605OtherHEALTH NEW ENGLAND
MA043476949OtherNORTH AMERICAN PREFERRED
MA043476949OtherUNICARE/GIC
MAG22005OtherBCBS MA
MA043476949OtherCONSOLIDATE HEALTH PLANS
MA043476949OtherNORTHEAST HEALTHCARE ALL
MA043476949OtherPLAN VISTA
MA043476949OtherPRIVATE HEALTH CARE SYS
MA101506OtherCIGNA
MA6191916Medicaid
MA043476949OtherNORTHEAST HEALTH DIRECT
MA17605OtherHEALTH NEW ENGLAND
MA101506OtherCIGNA
MA000000006686OtherBMC
MA17605OtherHEALTH NEW ENGLAND
MA501112OtherCONNECTICARE
MA043476949OtherNORTH AMERICAN PREFERRED
MAG22005OtherBCBS MA