Provider Demographics
NPI:1326187717
Name:WEYLMAN, CHRISTINE E (RDH BSDH)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:E
Last Name:WEYLMAN
Suffix:
Gender:F
Credentials:RDH BSDH
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:KERLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1010 MASSACHUSETTS AVENUE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-534-2398
Mailing Address - Fax:617-534-4688
Practice Address - Street 1:1010 MASS AVE
Practice Address - Street 2:SCHOOL BASED HEALTH PROGRAMS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-534-5198
Practice Address - Fax:617-534-4688
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist