Organization
JOHN VONWEISS M.D. INC
Active
Other names
VONWEISS DERMATOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
HANS ERICK VON WEISS D.O. (DERMATOLOGIST)
(978) 744-2782
Entity
Organization
Contact information
Practice address
107 HIGHLAND AVE, SALEM, MA 01970-2721
(978) 744-2782
(978) 744-7012
Mailing address
107 HIGHLAND AVE, SALEM, MA 01970-2721
(978) 744-2787
(978) 744-7012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
744667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3196615
—
MA
01
—
M10884
MEDICARE GROUP
MA
Enumeration date
05/24/2006
Last updated
11/15/2007
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