Individual
JUAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9335 AMARYLLIS AVE., MANASSAS, VA 20110
(703) 963-6791
Mailing address
9335 AMARYLLIS AVE., MANASSAS, VA 20110
(703) 963-6791
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101038226
VA
208000000X
Pediatrics Physician
Primary
0101038226
VA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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