Individual
DR. KENNETH JAY WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 E CITY AVE, SUITE 300, BALA CYNWYD, PA 19004-1501
(610) 660-7728
(610) 667-7914
Mailing address
6809 CRESHEIM RD, PHILADELPHIA, PA 19119-2640
(215) 844-6793
(215) 844-0231
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MD022359E
PA
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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