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Individual

DR. GLENN HARMON WEISSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51 N. FIFTH AVE., STE. 202, ARCADIA, CA 91006-3739
(626) 357-6222
(626) 357-0115
Mailing address
51 N FIFTH AVE, STE 202, ARCADIA, CA 91006-3739
(626) 357-6222
(626) 357-0115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G41381
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G413810
CA
Enumeration date
07/06/2006
Last updated
07/08/2007
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