Organization
STEVEN R. WEASEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R. WEASEN M.D. (PHYSICIAN)
(215) 860-6100
Entity
Organization
Contact information
Practice address
209 FLORAL VALE BLVD, YARDLEY, PA 19067-5524
(215) 860-6100
(215) 860-1996
Mailing address
209 FLORAL VALE BLVD, YARDLEY, PA 19067-5524
(215) 860-6100
(215) 860-1996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD033733E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0826821000
HORIZON
NJ
01
—
0826821000
KEYSTONE
PA
01
—
2371871
AETNA US HEALTHCARE
PA
01
—
914814
BLUE CROSS/ BLUE SHIELD
PA
Enumeration date
06/17/2006
Last updated
01/31/2011
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