Individual
THEODORE I WEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-1026
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 569-7500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18315
WI
207P00000X
Emergency Medicine Physician
2005030572
MO
207P00000X
Emergency Medicine Physician
25991
WV
207P00000X
Emergency Medicine Physician
Primary
LT-1161
NH
207P00000X
Emergency Medicine Physician
MD2008-0651
NM
208000000X
Pediatrics Physician
212862
MA
208D00000X
General Practice Physician
18315
WI
Other
Enumeration date
05/28/2006
Last updated
02/03/2021
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