Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC001847L | PA |
NPI | 1326199027 |
---|---|
Provider Name | Dr. Arthur Weiss |
First Address | Richboro, PA 18954-1612 |
Second Address | Richboro, PA 18954-1612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 08/07/2007 |