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NPI 1982810610

NPI 1982810610 : DANIEL E. WEISS M.D. : RAHWAY, NJ

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General NPI Number Information
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    NPI Number           |    1982810610
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL E. WEISS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    05/16/2011
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Provider Practice Location Address
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    Address Line         |    1 CARRIAGE CITY PLZ UNIT 924
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    City                 |    RAHWAY
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    State                |    NJ
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    Zip                  |    07065-5181
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    Country              |    US
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    Telephone            |    732-428-4564
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 CARRIAGE CITY PLZ UNIT 924
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    City                 |    RAHWAY
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    State                |    NJ
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    Zip                  |    07065-5181
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    Country              |    US
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    Telephone            |    732-428-4564
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    MA08236800
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    License Number State |    NJ
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