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Individual

DR. LARRY D WEISFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
515 CHURCH STREET, SUITE 4, BOUND BROOK, NJ 08805-1743
(732) 356-7283
(732) 356-0432
Mailing address
515 CHURCH STREET, SUITE 4, BOUND BROOK, NJ 08805-1743
(732) 356-7283
(732) 356-0432

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA36092
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0421707
NJ
Enumeration date
10/20/2006
Last updated
07/14/2007
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