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Individual
JUSTIN WILLIAM WEISENBERGER
Active
Individual
JUSTIN WILLIAM WEISENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
278711
NY
207R00000X
Internal Medicine Physician
0T014870
PA
207R00000X
Internal Medicine Physician
Primary
278711
NY
Other
Enumeration date
07/09/2012
Last updated
06/29/2023
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