Individual
DOUGLASS WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BREWSTER BLVD., CAMP LEJEUNE, NC 28547-2538
(910) 450-4820
Mailing address
100 BREWSTER BLVD., CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14727
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30209195
—
NH
Enumeration date
01/26/2007
Last updated
02/26/2020
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