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NPI Code Detail

MEDICARE: DR. LEE WEISMAN M.D.

MEDICARE: DR. LEE 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
1207Q00000XFamily Medicine Physician427777VTVT

Other Identifiers

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

General Provider Information

NPI Number : 1861436826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE WEISMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 38
Second Line :
City : CHARLOTTE
State : VT
Zip : 05445-0038
Country : US
Telephone Number : 802-425-2781
Fax Number :
Provider Business Practice Location Address
First Line : 527 FERRY RD
Second Line :
City : CHARLOTTE
State : VT
Zip : 05445-9555
Country : US
Telephone Number : 802-425-2781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 12/31/2007

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