Individual
DR. JULIE MCKEAN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
175 BEACH 121ST ST, ROCKAWAY PARK, NY 11694-1960
(347) 334-1658
Mailing address
175 BEACH 121ST ST, ROCKAWAY PARK, NY 11694-1960
(347) 334-1658
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
222235
NY
208D00000X
General Practice Physician
OS9110
FL
Other
Enumeration date
04/20/2006
Last updated
11/30/2016
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