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Individual

YECHIEL WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
119 WHALERS DR, ABSECON, NJ 08201-2826
(732) 984-1487

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062133
PA
363AM0700X
Medical Physician Assistant
25MP00451000
NJ

Other

Enumeration date
10/05/2017
Last updated
05/16/2025
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