Lawrence Richard Weil, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Boxborough, MA
NPI 1699885673 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699885673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 54602 (MA)
- Practice address
- 350 Burroughs Rd
Boxborough, MA 01719-1916 - Phone
- (978) 263-5497
- Fax
- (978) 263-1226
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54602 | MA | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 54602 | MA | Yes |
Addresses
Primary practice location
350 Burroughs Rd
Boxborough, MA 01719-1916
Mailing address
350 Burroughs Rd
Boxborough, MA 01719-1916
Phone (978) 263-5497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3027287 | Medicaid | MA |
Other providers in Boxborough, MA
- Katherine Tapply
- Thome Legacy Enterprises LLC
- Jodi Thompson Gere
- Todays Dental of Boxborough
- Town of Boxborough
- Julia Whittle
- Michaela Williams-Barth
All providers in Boxborough, MA · Diagnostic Radiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.