Individual
JEANNINE A. WEIMAR-FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4508 CHESTNUT ST, PHILADELPHIA, PA 19139-3608
(267) 787-8300
(267) 787-8140
Mailing address
640 CLOVELLY LN, DEVON, PA 19333-1847
(610) 387-4520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD434579
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD434579
PA MEDICAL LICENSE
PA
01
—
MLHC ASSIGNMENT ACCT
440771
PA
Enumeration date
09/05/2008
Last updated
04/01/2026
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