Individual
MR. DANIEL MICHAEL WEISS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-7299
(717) 531-0089
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003013988
MEDICARE IDENTIFICATION NUMBER
—
05
—
103289514
—
PA
01
—
50149820
CBC
PA
01
—
8712622
CIGNA
PA
Enumeration date
07/02/2007
Last updated
12/12/2022
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