IndividualActive
Weizhen Tan, MD
NPI 1952693418 · Pediatric Nephrology Physician · Boston, MA
Provider details
- NPI number
- 1952693418
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 258478 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Massachusetts General Hospital
Boston, MA 02114-2621
Phone: (617) 726-2908
Fax: (617) 643-9141
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit St
Boston, MA 02114-2696
Additional practice locations (1)
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (774) 442-2131Fax: (774) 441-8004
Registry dates
- Enumerated
- 2011-05-03
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.