Individual
VIRGINIA KATHERINE H WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(072) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD23365
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720441058
—
ME
Enumeration date
04/04/2016
Last updated
07/06/2020
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