Individual
DR. ANTHONY WEISS
Active
Individual
DR. ANTHONY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
157529
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3208150
—
MA
01
—
I57529
TUFTS HEALTH PLAN
MA
01
—
J22253
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
09/07/2012
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