Individual
DR. DAVID WEITHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 OLD SHORT HILLS RD STE 206, WEST ORANGE, NJ 07052-1023
(973) 731-5005
(973) 325-6230
Mailing address
3400 BAINBRIDGE AVE FL 4, BRONX, NY 10467-2404
(718) 920-4800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA10698500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10698500
LICENSE
NJ
Enumeration date
04/02/2015
Last updated
03/03/2022
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