Individual
DR. ERIK DANIEL WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H.
Contact information
Practice address
2500 N STATE ST, RADIOLOGY DEPARTMENT, JACKSON, MS 39216-4500
(718) 869-1756
Mailing address
4701 LAKELAND DR, APT. 19D, FLOWOOD, MS 39232-9506
(718) 869-1756
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
258541-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
258541-1
NY
Other
Enumeration date
10/13/2008
Last updated
06/03/2015
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