Individual
NICHOLAS WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 CENTRAL AVE SE, EMERGENCY MEDICINE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125
(505) 841-1737
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102204562
VA
207P00000X
Emergency Medicine Physician
DO2022-0040
NM
207P00000X
Emergency Medicine Physician
Primary
DO2022-0400
NM
Other
Enumeration date
03/03/2014
Last updated
10/29/2024
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