Individual
MR. EDWARD LEO WEIST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Mailing address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00287800
NJ
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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