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NPI Code Detail

MEDICARE: SARAH JENNIFER WEISS MD

MEDICARE: SARAH JENNIFER WEISS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD464190PA

General Provider Information

NPI Number : 1053799049
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH JENNIFER WEISS MD
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number : 215-707-2433
Fax Number :
Provider Business Practice Location Address
First Line : 8835 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-2765
Country : US
Telephone Number : 215-707-5030
Fax Number : 215-707-3494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2015
Last Update Date : 01/22/2026

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