Healthcare Provider Details

I. General information

NPI: 1548112212
Provider Name (Legal Business Name): JULIAN ALBERT WEEKS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 NEW RD STE A
SOMERS POINT NJ
08244-2038
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 609-267-9400
  • Fax:
Mailing address:
  • Phone: 609-267-9400
  • Fax: 609-927-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP01007700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: