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NPI Code Detail

MEDICARE: DAVID C WEISMAN M.D.

MEDICARE: DAVID C WEISMAN 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
12084B0040XBehavioral Neurology & Neuropsychiatry PhysicianMD428444PA
22084N0400XNeurology PhysicianMD428444PA

General Provider Information

NPI Number : 1295832723
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID C WEISMAN M.D.
Provider Business Mailing Address
First Line : 2325 MARYLAND RD
Second Line : SUITE 120
City : WILLOW GROVE
State : PA
Zip : 19090-1749
Country : US
Telephone Number : 215-957-9250
Fax Number : 215-957-9254
Provider Business Practice Location Address
First Line : 1151 OLD YORK RD # 200
Second Line :
City : ABINGTON
State : PA
Zip : 19001-3816
Country : US
Telephone Number : 215-957-9250
Fax Number : 215-957-9254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2006
Last Update Date : 01/19/2021

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