Individual
MR. RUSSELL WEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7136 110TH ST STE 1G, FOREST HILLS, NY 11375-4852
(718) 520-2210
Mailing address
7136 110TH ST STE 1G, FOREST HILLS, NY 11375-4852
(718) 520-2210
(718) 520-4448
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
291260-1
NY
Other
Enumeration date
04/15/2014
Last updated
01/25/2021
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