Individual
DR. MARC LAWRENCE WEITZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2371 BLACK ROCK TPKE, FAIRFIELD, CT 06825
(203) 371-0141
(203) 371-6585
Mailing address
2371 BLACK ROCK TPKE, FAIRFIELD, CT 06825
(203) 371-0141
(203) 371-6585
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
033157
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331579
—
CT
Enumeration date
09/08/2006
Last updated
07/08/2007
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