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NPI Code Detail

MEDICARE: JEFFREY S WEISBERG PA

MEDICARE: JEFFREY S WEISBERG PA
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
1363A00000XPhysician Assistant0110008761VA
2363A00000XPhysician AssistantPA3515FL
3363A00000XPhysician Assistant4090CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669437836
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY S WEISBERG PA
Provider Business Mailing Address
First Line : 4900 S MONACO ST STE 210
Second Line :
City : DENVER
State : CO
Zip : 80237-3487
Country : US
Telephone Number : 303-226-4650
Fax Number : 303-751-6069
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-898-1994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 02/06/2026

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Directions to “ JEFFREY S WEISBERG PA” Practice Location

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