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NPI Code Detail

MEDICARE: ANN WEISSMAN P.T.

MEDICARE: ANN WEISSMAN P.T.
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
1174400000XSpecialist40QA00804100NJ

General Provider Information

NPI Number : 1467455840
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN WEISSMAN P.T.
Provider Business Mailing Address
First Line : 85 S MAPLE AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-4561
Country : US
Telephone Number : 201-445-2830
Fax Number : 201-445-7471
Provider Business Practice Location Address
First Line : 85 S MAPLE AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-4561
Country : US
Telephone Number : 201-445-2830
Fax Number : 201-445-7471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 11/19/2007

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Directions to “ ANN WEISSMAN P.T.” Practice Location

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