# EDWARD WEITZMAN DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447516521
- **Authorized official:** EDWARD WEITZMAN D.O. (PRESIDENT)
- **Authorized official phone:** (610) 268-3777

## Contact information

- **Practice address:** 416 GAP NEWPORT PIKE, AVONDALE, PA 19311-9542
- **Practice address phone:** (610) 268-3777
- **Practice address fax:** (610) 268-3399
- **Mailing address:** 416 GAP NEWPORT PIKE, AVONDALE, PA 19311-9542
- **Mailing address phone:** (610) 268-3777
- **Mailing address fax:** (610) 268-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS-003683-L | PA | Yes |

## Other

- **Enumeration date:** 04/03/2012
- **Last updated:** 04/03/2012