Individual
DR. DEBRA WEISSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077
(856) 829-5545
(856) 829-9268
Mailing address
2099 NEW ALBANY RD, CINNAMINSON, NJ 08077
(856) 829-5545
(856) 829-9268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA-44172
NJ
208000000X
Pediatrics Physician
MD-027974-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0871401
—
NJ
Enumeration date
07/24/2006
Last updated
07/08/2007
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