Provider Demographics
NPI:1437145075
Name:WESTON, CRAIG (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:WESTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3270
Mailing Address - Fax:978-469-5646
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3270
Practice Address - Fax:978-469-5646
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA54554207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1437145075OtherAETNA HMO
443487OtherHEALTHSOURCE
NH30205470OtherNEW HAMPSHIRE MEDICAID
MA5391695OtherAETNA NON HMO
MA771694OtherTUFTS
0010905OtherNEIGHBORHOOD HEALTH PLAN
P00248131OtherRAILROAD MEDICARE
MA110052506AMedicaid
MDJ04885OtherBLUE CROSS BLUE SHIELD
4212625OtherCIGNA
967119OtherNETWORK HEALTH
NHB97924OtherANTHEM BLUE CROSS
04-09260OtherEVERCARE
MA1437145075OtherFALLON COMMUNITY HEALTH PLAN
MA63936OtherHARVARD PILGRIM
MAB97924Medicare UPIN
MA110052506AMedicaid