NPI 1003025776

Theodore Peter Wasik, MD

Practitioner Psychiatry Physician Lexington, MA

Practice location

Address: 1632 Massachusetts Ave, Lexington, MA 02420-3802
Phone: (617) 470-1805
Fax: (781) 496-1042
Mailing address: 8 Ayer Rd, Harvard, MA 01451-1408

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 243789 (MA)

Other Psychiatry & Neurology providers in Massachusetts →

Registry record

NPI: 1003025776
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2007
Record last updated: 24 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.