Individual
DR. CHRISTOPHER WEIDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
952 PENLLYN PIKE, SPRING HOUSE, PA 19477-0000
(215) 628-8799
(215) 628-8798
Mailing address
PO BOX 75, 952 PENLLYN PIKE, SPRING HOUSE, PA 19477-0075
(215) 628-8799
(215) 628-8798
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG00550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639654
BCBS ID
PA
01
—
2325746000
KEYSTONE ID
PA
Enumeration date
04/17/2006
Last updated
02/07/2011
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