Individual
LYNNE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 FRENCH STREET, SUITE 2300, NEW BRUNSWICK, NJ 08901
(732) 235-6230
(732) 235-6620
Mailing address
66 WEST GILBERT, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
25MA036393
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306701
—
NJ
Enumeration date
08/29/2006
Last updated
06/21/2010
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