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Individual

GIL A WEIZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(914) 223-1747
Mailing address
480 BEDFORD RD, CHAPPAQUA, NY 10514-1715
(914) 223-1747

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01057082
IN
208800000X
Urology Physician
Primary
313599-01
NY
208800000X
Urology Physician
35.098482
OH
208800000X
Urology Physician
73253
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0059879
MEDICAID
OH
01
132639
COVENTRY CARES
KY
01
270577733066
CARESOURCE
OH
01
654814
WELLCARE
OH
01
700266
BUCKEYE - MEDICARE
OH
01
7249227
AETNA
OH
01
747737
ANTHEM
OH
01
772712
BUCKEYE - MEDICAID
01
H073800
MEDICARE
OH
01
P01125188
RAIDROAD MEDICARE
OH
Enumeration date
07/05/2006
Last updated
02/21/2023
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