Individual
DR. LELA WEEMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
80 PLYMOUTH ST, 3RD FLOOR, MONTCLAIR, NJ 07042-2137
(917) 572-2880
(973) 337-8219
Mailing address
80 PLYMOUTH ST, 3RD FLOOR, MONTCLAIR, NJ 07042-2137
(917) 572-2880
(973) 337-8219
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
229333-1
NY
207L00000X
Anesthesiology Physician
Primary
25MA08529200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02472517
—
NY
Enumeration date
09/02/2005
Last updated
12/05/2009
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