Individual
BURTON WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 WALNUT ST, SUITE 1422, PHILADELPHIA, PA 19102-2944
(215) 569-8736
(215) 569-1460
Mailing address
1601 WALNUT ST, SUITE 1422, PHILADELPHIA, PA 19102-2944
(215) 569-8736
(215) 569-1460
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD015409E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6108105
—
NJ
01
—
954952
US HEALTHCARE
PA
05
—
WE135889 0654283 01
—
PA
Enumeration date
01/01/2007
Last updated
11/26/2007
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