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General NPI Number Information
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NPI Number | 1134313851
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Entity Type | Organization
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Legal Business Name | IRVING L WEISSMAN MD, PC
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 280 WASHINGTON ST
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City | BRIGHTON
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State | MA
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Zip | 02135-3511
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Country | US
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Telephone | 617-787-5503
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Fax |
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Provider Business Mailing Address
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Address Line | 280 WASHINGTON ST
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City | BRIGHTON
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State | MA
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Zip | 02135-3511
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Country | US
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Telephone | 617-787-5503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRVING LOUIS WEISSMAN
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Credential | M.D.
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Telephone | 617-787-5503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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