Individual
MARY ELIZABETH WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
943 WASHINGTON AVE APT 404, PHILADELPHIA, PA 19147-3868
(856) 701-4198
Mailing address
943 WASHINGTON AVE APT 404, PHILADELPHIA, PA 19147-3868
(856) 701-4198
Taxonomy
Speciality
Code
Description
License number
State
133VN1401X
Pediatric Critical Care Nutrition Registered Dietitian
Primary
DN007897
PA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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