Individual
DR. MATTHEW D. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8449
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8449
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
216613
MA
207RP1001X
Pulmonary Disease Physician
216613
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
216613
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119111
—
MA
01
—
AA106866
HARVARD PILGRIM
MA
01
—
J28253
BLUE CROSS
MA
Enumeration date
08/29/2005
Last updated
03/24/2015
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