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SCOTT LAWRENCE WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34TH STREET AND CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1858
(215) 590-4327
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(297) 425-9300
(297) 425-9331

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231175
MA
208000000X
Pediatrics Physician
MD442203
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD442203
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026144680001
PA
01
224551EMD
MEDICARE PTAN
PA
Enumeration date
05/23/2007
Last updated
04/10/2013
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