Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
SIMON LEON WEITZMAN
Active
Individual
SIMON LEON WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41758
MA
261QP2300X
Primary Care Clinic/Center
41758
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M15636
MEDICARE
—
Enumeration date
04/21/2006
Last updated
05/29/2009
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