Individual
CAROL WEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 MAIN ST, WESTPORT, CT 06880-3210
(203) 220-6764
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
033156
CT
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
033156
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001331561
—
CT
Enumeration date
11/22/2005
Last updated
04/22/2020
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