Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MA47641 | NJ |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD02000E | PA |
NPI | 1093736522 |
---|---|
Provider Name | Ned M Weiss |
First Address | Horsham, PA 19044-3812 |
Second Address | Horsham, PA 19044-3812 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 18/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C29246 | (02) | PA |