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NPI Code Detail

MEDICARE: DR. MATTHEW D. WEISS MD

MEDICARE:  DR. MATTHEW D. WEISS  MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician216613MA
2207RP1001XPulmonary Disease Physician216613MA
3207RS0012XSleep Medicine (Internal Medicine) Physician216613MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AA106866OTHERMAHARVARD PILGRIM
2J28253OTHERMABLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205829967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW D. WEISS MD
Provider Business Mailing Address
First Line : 55 FOGG RD
Second Line :
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2432
Country : US
Telephone Number : 781-624-8449
Fax Number :
Provider Business Practice Location Address
First Line : 55 FOGG RD
Second Line :
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2432
Country : US
Telephone Number : 781-624-8449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2005
Last Update Date : 03/24/2015

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Directions to “ DR. MATTHEW D. WEISS MD” Practice Location

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