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Individual
JEROME A WEISS
Active
Individual
JEROME A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
134580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027146401
UNIVERA #
NY
01
—
0195677
IHA #
NY
01
—
051007000048
FIDELIS CARE #
NY
01
—
100826BJ
PREFERRED CARE #
NY
01
—
134580-0W
WORKERS COMP #
NY
01
—
9137
SIDNEY HILLMAN #
NY
01
—
P010134580
BLUE CHOICE #
NY
Enumeration date
05/03/2006
Last updated
01/12/2012
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