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1003025776
THEODORE PETER WASIK
SOMERVILLE, MA
NPI
1003025776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MA 243789)
Enumeration Date
2007-05-21
Last Update Date
2019-09-21
Business Address
THEODORE PETER WASIK MD
61 ROSELAND ST STE 8
SOMERVILLE, MA 02143-3536
Phone number: 617-470-1805
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Mailing Address
THEODORE PETER WASIK MD
29 ALBION PL
BOSTON, MA 02129-1701
Phone number: 617-470-1805
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