Organization
OCEANSIDE MEDICAL,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DANIEL WEISS MD (PRESIDENT)
(207) 338-9968
Entity
Organization
Contact information
Practice address
116 NORTHPORT AVE, SUITE 212, BELFAST, ME 04915-6095
(207) 338-9968
(207) 338-0332
Mailing address
116 NORTHPORT AVE, SUITE 212, BELFAST, ME 04915-6095
(207) 338-9968
(207) 338-0332
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
013771
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133070000
—
ME
Enumeration date
12/18/2006
Last updated
12/30/2008
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