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NPI Code Detail

MEDICARE: MATTHEW A WEITZEL M.D.

MEDICARE:   MATTHEW A WEITZEL  M.D.
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
1207Q00000XFamily Medicine PhysicianMD433542PA

General Provider Information

NPI Number : 1104039833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW A WEITZEL M.D.
Provider Business Mailing Address
First Line : 802 NEW HOLLAND AVENUE
Second Line : SUITE 200
City : LANCASTER
State : PA
Zip : 17602-2288
Country : US
Telephone Number : 717-544-4663
Fax Number : 717-544-4312
Provider Business Practice Location Address
First Line : 802 NEW HOLLAND AVENUE
Second Line : SUITE 200
City : LANCASTER
State : PA
Zip : 17602-2288
Country : US
Telephone Number : 717-544-4663
Fax Number : 717-544-4312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 05/28/2026

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Directions to “ MATTHEW A WEITZEL M.D.” Practice Location

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