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NPI Code Detail

MEDICARE: WILLIAM J WEIR CRNA

MEDICARE: WILLIAM J WEIR CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN276903LPA

Other Identifiers

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

General Provider Information

NPI Number : 1780682427
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J WEIR CRNA
Provider Business Mailing Address
First Line : 51 NORTH 39TH STREET
Second Line : 266 WRIGHT SAUNDERS
City : PHILADELPHIA
State : PA
Zip : 19104-2640
Country : US
Telephone Number : 215-662-8244
Fax Number : 215-274-3560
Provider Business Practice Location Address
First Line : 1500 LANSDOWNE AVE
Second Line :
City : DARBY
State : PA
Zip : 19023-1200
Country : US
Telephone Number : 856-423-7700
Fax Number : 856-423-0823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/12/2017

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