Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD061254L | PA |
NPI | 1760579601 |
---|---|
Provider Name | Dr. Drew Weissman |
First Address | Wynnewood, PA 19096-3322 |
Second Address | Philadelphia, PA 19104-4551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |