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NPI Code Detail

MEDICARE: MICHAEL WEISS

MEDICARE: MICHAEL WEISS
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
12085R0202XDiagnostic Radiology Physician62895FL

General Provider Information

NPI Number : 1801875885
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WEISS
Provider Business Mailing Address
First Line : 5557 FORBES AVE
Second Line : SUITE 3950
City : PITTSBURGH
State : PA
Zip : 15217-1183
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 815 FREEPORT RD
Second Line : SUITE 3950
City : PITTSBURGH
State : PA
Zip : 15215-3301
Country : US
Telephone Number : 412-784-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 05/24/2021

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