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Individual

DR. DAVID RUSSELL WEESNER

Active
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Individual

DR. DAVID RUSSELL WEESNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00026400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000648600
AMERICAID
NJ
01
—
0423673000
AMERIHEALTH HMO
NJ
01
—
1140429
NJ HEALTH
NJ
01
—
114193
AMERIGROUP
NJ
01
—
205051
AMERIHEALTH 65
NH
01
—
2131888
AETNA
NJ
01
—
2189524
UNITED
NJ
01
—
657479
KEYSTONE
NJ
05
—
7939507
—
NJ
01
—
P11203948
MULTIPLAN
NJ
01
—
P2162112
OXFORD
NJ
Enumeration date
06/05/2006
Last updated
07/09/2007
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