Individual
STEPHEN M WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PROSPECT AVE, 4F, HACKENSACK, NJ 07601-1910
(201) 487-8557
Mailing address
100 PROSPECT AVE, 4F, HACKENSACK, NJ 07601-1910
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA48048
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148504
—
NJ
Enumeration date
12/01/2006
Last updated
07/08/2007
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