Healthcare Provider Details

I. General information

NPI: 1437732864
Provider Name (Legal Business Name): WEI ZHAO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: WEI CONG ZHAO MD

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 MASONS MILL RD STE 503
HUNTINGDON VALLEY PA
19006-3517
US

IV. Provider business mailing address

3501 MASONS MILL RD STE 503
HUNTINGDON VALLEY PA
19006-3517
US

V. Phone/Fax

Practice location:
  • Phone: 215-938-7730
  • Fax:
Mailing address:
  • Phone: 215-938-7730
  • Fax: 215-938-7125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD496730
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: