Individual
DR. IRVING LOUIS WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
280 WASHINGTON ST, SUITE 308, BRIGHTON, MA 02135-3511
(617) 787-5503
(617) 787-1140
Mailing address
280 WASHINGTON ST, SUITE 308, BRIGHTON, MA 02135-3511
(617) 787-5503
(617) 787-1140
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30368
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023268
NHP
—
01
—
0096167
AETNA
—
05
—
0198862
—
MA
01
—
030368
TUFTS HEALTH PLAN
—
01
—
08-00059
UNITED HEALTH CARE
—
01
—
15275
HARVARD PILGRAM NUMBER
—
01
—
30368
MEDICAL LICENSE NUMBER
MA
01
—
4832
TARGET
—
01
—
8194
DAVIS
—
01
—
96167
U.S. HEALTH CARE
—
Enumeration date
05/10/2006
Last updated
06/28/2010
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