Individual
DR. WILLIAM WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5533
Mailing address
17 HEDGE PL, KINGSTON, PA 18704-4716
(570) 714-5055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22970
WV
207R00000X
Internal Medicine Physician
245005
NY
207R00000X
Internal Medicine Physician
MD021946E
PA
207RP1001X
Pulmonary Disease Physician
22970
WV
207RP1001X
Pulmonary Disease Physician
245005
NY
207RP1001X
Pulmonary Disease Physician
Primary
LT4164
NH
207RP1001X
Pulmonary Disease Physician
MD021946E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02906485
—
NY
05
—
0938491
—
PA
01
—
22970
STATE LICENSE
WV
05
—
3038153
—
OH
05
—
3810010654
—
WV
05
—
7100111620
—
KY
01
—
P00827065
MEDICARE RAILROAD
—
Enumeration date
10/11/2007
Last updated
02/03/2020
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