Individual
ELIZABETH T WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
900 BROADWAY, BLDG 3, BANGOR, ME 04401-1900
(207) 907-3300
(207) 907-1923
Mailing address
PO BOX 934, BANGOR, ME 04402-0934
(207) 907-3339
(207) 907-1214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11748
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000210032
—
ME
Enumeration date
01/20/2006
Last updated
01/23/2012
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