Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 16993 | MN |
Y | 207K00000X | Allergist & Immunologist | ME86093 | FL |
NPI | 1144473794 |
---|---|
Provider Name | Dr. Stephen Charles Weisberg |
First Address | Naples, FL 34110-7952 |
Second Address | Naples, FL 34110-7952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 28/10/2008 |