Individual
DR. H KEITH WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
381 RT 41, CHRISTIANA, PA 17509
(610) 593-5125
(610) 593-2723
Mailing address
PO BOX 70, 381 RT 41, CHRISTIANA, PA 17509
(610) 593-5125
(610) 593-2723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002802L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000683759
—
PA
01
—
010034423
RAILROAD MEDICARE PTAN
PA
Enumeration date
05/01/2006
Last updated
04/11/2011
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