Organization
EDWARD C WEISS MD PA
Active
Organization
EDWARD C WEISS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CONROD WEISS MD (PRES)
(973) 731-8050
Entity
Organization
Contact information
Practice address
95 NORTHFIELD AVE, WEST ORANGE, NJ 07052-4723
(973) 731-8050
(973) 731-8270
Mailing address
95 NORTHFIELD AVE, WEST ORANGE, NJ 07052-4723
(973) 731-8050
(973) 731-8270
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA01963200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2625903
—
NJ
Enumeration date
03/19/2007
Last updated
06/11/2008
Update your record
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