National Provider Identifier
Theresa Marie Wegman, MD
Theresa Marie Wegman, MD is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Orchard Park, NY and a listed phone number of (716) 662-3443.
Profile Overview
- NPI
- 1437117553
- Provider Type
- Individual
- Primary Specialty
- Pediatric Adolescent Medicine Physician
- Enumeration Date
- May 01, 2006
- Last Updated
- June 26, 2008
Practice Location
- 24 Carrow St
- Orchard Park, NY 14127-2604
Phone: (716) 662-3443
Specialties
- Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
- NPI
- 1437117553
- Entity Type
- Individual
- Last Name
- Wegman
- First Name
- Theresa
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 24 Carrow St
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2604
- Mailing Country
- US
- Mailing Phone
- (716) 662-3443
- Mailing Fax
- (716) 972-0374
- Practice Street Address
- 24 Carrow St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2604
- Practice Country
- US
- Practice Phone
- (716) 662-3443
- Practice Fax
- (716) 972-0374
- Enumeration Date
- May 01, 2006
- Last Updated
- June 26, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Adolescent Medicine Physician (2080A0000X)
- Other Identifiers
- 01924689 (NY), 00020530902 (NY, Univera Healthcare)), 000525566002 (NY, Blue Cros/Blue Sheild (Health Now)), 1210624 (NY, Independent Health Association)