Individual
DR. DENNIS S WEISS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2340 WARD ST, 101, BERKELEY, CA 94705-1124
(510) 848-5308
Mailing address
2340 WARD ST, 101, BERKELEY, CA 94705-1124
(510) 848-5308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G17751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G17751
INSURANCE PROVIDER NUMBER
CA
Enumeration date
02/10/2006
Last updated
07/08/2007
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