Individual
PAUL E. WEIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
189 STORRS RD, MANSFIELD CENTER, CT 06250-0280
(860) 456-1311
(860) 423-5922
Mailing address
PO BOX 280, 189 STORRS ROAD, MANSFIELD CENTER, CT 06250-0280
(860) 456-1311
(860) 423-5922
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42559
CT
2084P0800X
Psychiatry Physician
MD011481
RI
2084P0804X
Child & Adolescent Psychiatry Physician
MD011481
RI
208600000X
Surgery Physician
42559
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-30207
UNITED BEHAVIORAL HEALTH
—
01
—
27558-1
BLUE CROSS/SHIELD
RI
01
—
411844
BLUE CHIP
RI
01
—
740605000
MAGELLAN
—
05
—
PW3208
—
RI
05
—
PW53208
—
CT
01
—
UNKNOWN
PACIFICARE
—
Enumeration date
08/01/2006
Last updated
02/03/2022
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