Individual
MARK A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD438863
PA
207RH0000X
Hematology (Internal Medicine) Physician
MD438863
PA
207RX0202X
Medical Oncology Physician
Primary
MD438863
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221481
—
NJ
05
—
102416864
—
PA
Enumeration date
10/19/2006
Last updated
10/06/2011
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