Individual
FREDERICK J WEISBROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 EAGLE ROCK AVENUE, ROSELAND, NJ 07068-0393
(201) 997-2044
(201) 997-2041
Mailing address
PO BOX 393, 190 EAGLE ROCK AVENUE, ROSELAND, NJ 07068-0393
(201) 997-2044
(201) 997-2041
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA03309600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060403
—
NJ
Enumeration date
03/27/2007
Last updated
04/02/2010
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