Individual
MR. MARTIN DOUGLAS WEAVER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 WALNUT ST, 4TH FLOOR, PHILADELPHIA, PA 19107-5449
(215) 545-5404
(214) 545-5408
Mailing address
88 OLYMPIA LN, SICKLERVILLE, NJ 08081-4013
(215) 939-3555
(856) 875-7933
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD042968L
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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