Individual
DR. KERRY IRA WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 565-5448
(732) 745-8725
Mailing address
2 CONSTITUTION CT APT 807, HOBOKEN, NJ 07030-6729
(312) 898-2258
(201) 526-4211
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
159566-01
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
MA58982
NJ
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD039280L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001103307
—
PA
05
—
5365805
—
NJ
Enumeration date
04/20/2006
Last updated
07/28/2022
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