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Individual

DR. DAVID RUSSELL WEESNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
222 NEW RD, SUITE 301, LINWOOD, NJ 08221-1299
(609) 926-0700
(609) 926-4870
Mailing address
222 NEW RD, SUITE 301, LINWOOD, NJ 08221-1299
(609) 926-0700
(609) 926-4870

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00026400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000648600
AMERICAID
NJ
01
0423673000
AMERIHEALTH HMO
NJ
01
1140429
NJ HEALTH
NJ
01
114193
AMERIGROUP
NJ
01
205051
AMERIHEALTH 65
NH
01
2131888
AETNA
NJ
01
2189524
UNITED
NJ
01
657479
KEYSTONE
NJ
05
7939507
NJ
01
P11203948
MULTIPLAN
NJ
01
P2162112
OXFORD
NJ
Enumeration date
06/05/2006
Last updated
07/09/2007
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