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NPI Code Detail

MEDICARE: DR. ROBERT ALLEN WEISS MD

MEDICARE: DR. ROBERT ALLEN WEISS MD
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
1207RG0100XGastroenterology Physician160839NY

General Provider Information

NPI Number : 1841213014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ALLEN WEISS MD
Provider Business Mailing Address
First Line : 380 2ND AVE
Second Line : STE 1004
City : NEW YORK
State : NY
Zip : 10010-5615
Country : US
Telephone Number : 212-473-4100
Fax Number : 212-473-4733
Provider Business Practice Location Address
First Line : 108 E 96TH ST
Second Line : EAST SUITE
City : NEW YORK
State : NY
Zip : 10128-6217
Country : US
Telephone Number : 212-473-4100
Fax Number : 212-473-4733
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 04/29/2019

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