Individual
HERVEY A WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6473
(203) 396-1039
Mailing address
175 JEFFERSON ST, FAIRFIELD, CT 06825-1078
(203) 365-6473
(203) 396-1039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24011
CT
207RH0003X
Hematology & Oncology Physician
Primary
24011
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001138940
—
CT
Enumeration date
07/12/2005
Last updated
02/09/2010
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