Individual
BRIAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
(609) 914-6182
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB11071700
NJ
207R00000X
Internal Medicine Physician
94-09330
KS
Other
Enumeration date
06/14/2017
Last updated
05/21/2021
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