Individual
MARK I WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 476-2123
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2978
(202) 476-2123
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD11285
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011136900
—
DC
05
—
455601100
—
MD
05
—
6735703
—
VA
Enumeration date
10/26/2006
Last updated
08/11/2011
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