MEDICARE: STEVEN R WEASEN

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
1	174400000X	Specialist	MD033733E	PA

General Provider Information

NPI Number	:	1215973821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN R WEASEN

Provider Business Mailing Address
First Line	:	2146 S BROAD ST
Second Line	:	1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3905
Country	:	US
Telephone Number	:	215-463-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	2146 S BROAD ST
Second Line	:	1ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3905
Country	:	US
Telephone Number	:	215-463-3939
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN R WEASEN
Credential	:	MD
Telephone Number	:	215-463-3939

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	12/03/2008

Similar Medicare Providers

1811147770 — VINCENT Y LIN DDS
Practice Location Address:

2142 S BROAD ST
PHILADELPHIA, PA
19145-3905

Practice Phone: 215-468-5334
Practice Fax: 215-468-5334

1356636617 — RELIANCE FAMILY CARE SERVICES INC.
Practice Location Address:

2146 S BROAD ST , 2ND FL
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-519-0672
Practice Fax:

1710252010 — MR. PATRICK JAJUA
Practice Location Address:

2146 S BROAD ST , SECOND FLOOR
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-519-0672
Practice Fax:

1073888384 — MR. PETER MANGA
Practice Location Address:

2146 S BROAD ST , 2FLOOR
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-519-0672
Practice Fax:

1861853962 — RITECHOICE PHARMACY III
Practice Location Address:

2100 S BROAD ST FL 1
PHILADELPHIA, PA
19145-3905

Practice Phone: 215-500-2223
Practice Fax:

1114559713 — BROAD AND SNYDER PHARMACY P C
Practice Location Address:

2108 S BROAD ST FL 1
PHILADELPHIA, PA
19145-3905

Practice Phone: 267-324-3039
Practice Fax: 267-519-2192

Directions to “STEVEN R WEASEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.