MEDICARE: DAVID M. WESTON M.D.

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
1	207RG0100X	Gastroenterology Physician	MD012402E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	112645389	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205831260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M. WESTON M.D.

Provider Business Mailing Address
First Line	:	2112 HARRISBURG PIKE
Second Line	:	STE 202
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3500
Fax Number	:	717-544-3501

Provider Business Practice Location Address
First Line	:	2112 HARRISBURG PIKE
Second Line	:	STE 202
City	:	LANCASTER
State	:	PA
Zip	:	17601-2644
Country	:	US
Telephone Number	:	717-544-3500
Fax Number	:	717-544-3501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/15/2011

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Directions to “ DAVID M. WESTON M.D.” Practice Location

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