Individual
MR. MARK R WEIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 LOCKWOOD AVE # A, SUITE #2, NEW ROCHELLE, NY 10801-4915
(914) 636-4466
(914) 636-0611
Mailing address
140 LOCKWOOD AVE # A, SUITE #2, NEW ROCHELLE, NY 10801-4915
(914) 636-4466
(914) 636-0611
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2110991
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068720
—
NY
Enumeration date
08/08/2006
Last updated
03/19/2008
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